ZITA LUNA-BANIQUED

FORT POLK, LA
NPI1669536686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: CA  A37780)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- ZITA LUNA-BANIQUED M.D.
1585 THIRD ST. BAYNE JONES ACH
FORT POLK, LA 71459-5110
Phone number: 337-531-3074
Mailing Address
-- ZITA LUNA-BANIQUED M.D.
1605 AMOUR DR
LEESVILLE, LA 71446-5212
Phone number: 337-238-9317