| NPI | 1972972354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAUNA GUILLORY MOODY Business Owner/Nurse Practitioner 337-459-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP06458) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-11-18 |