| NPI | 1427233477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYSHAWN KEMYATTA GREMILLION Owner/President 504-948-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 408604001) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |