| NPI | 1679085781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENETRA J. SMITH Owner/Operator 318-745-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN100044) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |