| NPI | 1356395099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PEREZ Admin. Asst. 985-871-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 012831) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 013678) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |