Provider First Line Business Practice Location Address:
42440 PELICAN PROFESSIONAL PARK
Provider Second Line Business Practice Location Address:
NORTH OAKS PEDIATRIC CLINIC, LLP
Provider Business Practice Location Address City Name:
HAMMOND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-542-4950
Provider Business Practice Location Address Fax Number:
985-542-6089
Provider Enumeration Date:
09/22/2006