| NPI | 1376743724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE MARIO CONTRERAS Jorge Contreras 504-885-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 023608) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |