Provider First Line Business Practice Location Address:
15810 LA HIGHWAY 16
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRENCH SETTLEMENT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70733-2412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-698-6848
Provider Business Practice Location Address Fax Number:
225-698-6849
Provider Enumeration Date:
01/23/2026