| NPI | 1134498025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE LONGLEY ALLEMAN Owner 985-264-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06367) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |