| NPI | 1760986996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BROUSSARD Owner/ Member 337-298-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: LA 170337) |
| Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: LA 1284) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |