| NPI | 1649166984 |
|---|---|
| Other Name | HEALTH BOUTIQUE LLC |
| Entity Type | Organization |
| Authorized Contact | MHYKEISHA KATRESE EVANS-GEORGE Sole Member/Owner 318-458-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |