JENIE DOMANGUE

HOUMA, LA
NPI1295868743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: LA  OTT.Z11092)
Enumeration Date2007-03-13
Last Update Date2007-07-09
Business Address
-- JENIE DOMANGUE LOTR
1904 LAREDO DR
HOUMA, LA 70360-7324
Phone number: 985-232-0936
Mailing Address
-- JENIE DOMANGUE LOTR
1904 LAREDO DR
HOUMA, LA 70360-7324
Phone number:
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