| NPI | 1356997399 |
|---|---|
| Doing Business As | PELICAN MEDICAL WELLNESS AND COSMETIC CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET GAUTREAU Managing Member 225-257-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-08-19 |