Provider First Line Business Practice Location Address:
420 AVENUE F, OUR LADY OF THE ANGELO HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOGALUSA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-730-6970
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2024