Provider First Line Business Practice Location Address:
4200 HOUMA BLVD
Provider Second Line Business Practice Location Address:
EMERGENCY ROOM
Provider Business Practice Location Address City Name:
METARIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-2970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-456-5428
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/02/2005