| NPI | 1780813204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME MICHAEL OUGEL Owner 337-212-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP 05807) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |