NPI | 1912107962 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD JOSEPH GUILLOT Owner/President 985-792-4022 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: LA MD-020599) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-18 |