| NPI | 1346018330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY C. FUSELIER Co Owner/Pa 337-442-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |