Provider First Line Business Practice Location Address:
AVOYELLES HIGH SCHOOL CLINIC
Provider Second Line Business Practice Location Address:
287 MAIN STREET
Provider Business Practice Location Address City Name:
MOREAUVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-229-1881
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007