JENNINGS PEDIATRIC CENTER, LLC

JENNINGS, LA
NPI1821507542
Entity TypeOrganization
Authorized ContactMIKKI D MONCEAUX
Office Nurse
337-824-3446
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  08542R)
Enumeration Date2017-09-26
Last Update Date2020-12-02
Business Address
JENNINGS PEDIATRIC CENTER, LLC
1615 JOHNSON ST STE A
JENNINGS, LA 70546-3650
Phone number: 337-824-3446
Mailing Address
JENNINGS PEDIATRIC CENTER, LLC
1615 JOHNSON ST STE A
JENNINGS, LA 70546-3650
Phone number: 337-824-3446
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