| NPI | 1417464017 |
|---|---|
| Doing Business As | LITTLE TOES BUTTON NOSE |
| Entity Type | Organization |
| Authorized Contact | TANIKA DANIELLE COLLINS Owner 337-304-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |