| NPI | 1114308913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBREANA M DOMINGUE Owner 504-258-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: LA AP07786) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 13528R) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |