WILLIE PAYNE

BATON ROUGE, LA
NPI1992244107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
(Licence: LA  44892)
Enumeration Date2017-02-21
Last Update Date2017-02-21
Business Address
-- WILLIE PAYNE
10782 N HARRELLS FERRY RD STE A
BATON ROUGE, LA 70816-8227
Phone number: 225-346-1700
Mailing Address
-- WILLIE PAYNE
17253 DEER LAKE AVE
BATON ROUGE, LA 70816-1715
Phone number: 225-337-9791
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