| NPI | 1467753905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMIE SAFFORD Member 225-892-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: LA MD.200988) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |