NPI | 1679001556 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MELTON DUCOTE Fnp C 504-897-7732 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA AP09197) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2018-03-14 |