MARY MAITLAND DELAND

LAFAYETTE, LA
NPI1114940046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X 
(Licence: LA  05746R)
Enumeration Date2006-07-25
Last Update Date2020-08-12
Business Address
MARY MAITLAND DELAND MD
1507 ALICE DR
LAFAYETTE, LA 70503-5083
Phone number: 337-989-0812
Mailing Address
MARY MAITLAND DELAND MD
1507 ALICE DR
LAFAYETTE, LA 70503-5083
Phone number: 337-989-0812
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