CHACHERE PROVOST MEDICINE, LLC

OPELOUSAS, LA
NPI1780875740
Entity TypeOrganization
Authorized ContactHOLLY C. PROVOST
Owner
337-942-2323
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
Enumeration Date2007-08-06
Last Update Date2008-02-29
Business Address
CHACHERE PROVOST MEDICINE, LLC
3975 I 49 S SERVICE RD SUITE 205A
OPELOUSAS, LA 70570-0775
Phone number: 337-942-2323
Mailing Address
CHACHERE PROVOST MEDICINE, LLC
3975 I 49 S SERVICE RD SUITE 205A
OPELOUSAS, LA 70570-0775
Phone number: 337-942-2323
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