NPI | 1225365273 |
---|---|
Entity Type | Organization |
Authorized Contact | VONDA LYNETTE GAITOR Nurse Practitioner 504-628-7229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: LA APO1097) |
Additional Taxonomies | 251E00000X Home Health (Licence: LA APO1097) |
Enumeration Date | 2009-11-12 |
Last Update Date | 2009-11-12 |