TANQUILA QUENE LASALLE

LAKE CHARLES, LA
NPI1770220329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: LA  L142600526)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
TANQUILA QUENE LASALLE
2601 HODGES ST
LAKE CHARLES, LA 70601-7311
Phone number: 337-439-5628
Mailing Address
TANQUILA QUENE LASALLE
2601 HODGES ST
LAKE CHARLES, LA 70601-7311
Phone number: 337-439-5628
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