| NPI | 1912301789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN GUIDRY Human Resources Director 337-889-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200767) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |