NPI | 1366568800 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN L DUHON Nurse Practitioner 337-625-0035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA 32965-1991) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |