| NPI | 1669697157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A EDDINGTON Owner 985-643-1194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: LA 016604) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 016605) |
| 174400000X Specialist (Licence: LA 016288) | |
| 174400000X Specialist (Licence: LA 025452) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |