| NPI | 1902009350 |
|---|---|
| Former Legal Business Name | CHILDRENS CLINIC OF RACELAND |
| Entity Type | Organization |
| Authorized Contact | LUISA CUARIO BACUTA-TAGORDA Member Manager 985-537-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 08233R) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: LA 08233R) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-03-04 |