| NPI | 1982369096 |
|---|---|
| Doing Business As | MAGNOLIA THERAPEUTICS |
| Entity Type | Organization |
| Authorized Contact | ANNA THEVENOT FONTENOT CEO 337-363-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-08 |