Provider First Line Business Practice Location Address:
1300 W 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAPLAN
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70548-2916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-643-7302
Provider Business Practice Location Address Fax Number:
337-643-1579
Provider Enumeration Date:
03/31/2006