NPI | 1760914238 |
---|---|
Doing Business As | PRIMARY CARE AT HOME OF LOUISIANA |
Entity Type | Organization |
Authorized Contact | DONALD D, STELLY President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-04-03 |