NPI | 1548564644 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J MANUEL Nurse Pratitioner 337-207-0528 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA AP06054) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2021-08-04 |