| NPI | 1740643477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DOUCETT Office Manager 337-478-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08587) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |