| NPI | 1679155121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA NARCISSE BREAUX Provider 337-967-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-06-30 |