| NPI | 1104115310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADA LEA ARMSTRONG Owner/Physician 225-928-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA 09735R) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-06-13 |