DIVINITY HEALTHCARE CLINIC

BATON ROUGE, LA
NPI1326676792
Entity TypeOrganization
Authorized ContactDAWN MELANCON
Family Nurse Practitioner
225-301-2982
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2020-03-31
Last Update Date2020-05-05
Business Address
DIVINITY HEALTHCARE CLINIC
4021 WE HECK CT STE B1
BATON ROUGE, LA 70816-0405
Phone number: 225-256-7945
Mailing Address
DIVINITY HEALTHCARE CLINIC
11515 DENHAM RD
GONZALES, LA 70737-7787
Phone number: 225-301-2982
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