| NPI | 1396906087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH DAIGLE President/Owner 337-232-5954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 15130) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |