| NPI | 1134562044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORIA SHONTAY HARRIS Director 318-303-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN110197) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |