| 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 |