Provider First Line Business Practice Location Address:
39018 HWY 3089
Provider Second Line Business Practice Location Address:
HEALTH CENTER
Provider Business Practice Location Address City Name:
DONALDSONVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70346
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-725-2005
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2021