| NPI | 1104195536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HOPE MONK Nurse Practitioner 318-729-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04166) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2020-07-22 |