DR TERRELL S MANUEL LLC

ZACHARY, LA
NPI1346883352
Entity TypeOrganization
Authorized ContactTERRELL S MANUEL
Owner/Provider
337-298-8293
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2019-10-22
Last Update Date2019-10-22
Business Address
DR TERRELL S MANUEL LLC
12038 GREENWELL SPRINGS/PORT HUDSON ROAD
ZACHARY, LA 70791
Phone number: 337-298-8293
Mailing Address
DR TERRELL S MANUEL LLC
PO BOX 82570
LAFAYETTE, LA 70598-2570
Phone number: 337-298-8293