| NPI | 1578039921 |
|---|---|
| Doing Business As | RED STICK HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | KIRBY D HUMBLES Owner 225-931-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |