| NPI | 1366860603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE MELANCON Credentialing 337-367-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP07699) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-07-11 |