Provider First Line Business Practice Location Address:
4301 N UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
C/O CARENCRO SCHOOL BASED HEALTH CENTER
Provider Business Practice Location Address City Name:
CARENCRO
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70520-3905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-521-7499
Provider Business Practice Location Address Fax Number:
337-521-7498
Provider Enumeration Date:
07/25/2006