| NPI | 1194095109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE SIGUE Registered Agent 337-331-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 022140) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2014-07-02 |