NPI | 1265772081 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE FOTI Owner 504-251-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD 25481) |
Enumeration Date | 2013-02-15 |
Last Update Date | 2020-07-20 |