| NPI | 1902173271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA KALINOWSKA VAZQUEZ Office Manager 225-647-1947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 022083) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-09-02 |