| NPI | 1689782286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L POUSSON Office Manager 337-783-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 022382/022292) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2018-08-14 |