Provider First Line Business Practice Location Address:
800 E MAIN ST
Provider Second Line Business Practice Location Address:
VILLE PLATTE MEDICAL
Provider Business Practice Location Address City Name:
VILLE PLATTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-363-9485
Provider Business Practice Location Address Fax Number:
337-360-9680
Provider Enumeration Date:
03/10/2006