Provider First Line Business Practice Location Address:
204 N MAGDALEN SQ
Provider Second Line Business Practice Location Address:
YOUNG EYE SURGERY CENTER
Provider Business Practice Location Address City Name:
ABBEVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70510-4645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-892-7634
Provider Business Practice Location Address Fax Number:
337-892-7634
Provider Enumeration Date:
07/01/2008