Provider First Line Business Practice Location Address:
IMPERIAL HEALTH, LLP
Provider Second Line Business Practice Location Address:
607 NORTH THOMSON AVE
Provider Business Practice Location Address City Name:
IOWA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-582-5555
Provider Business Practice Location Address Fax Number:
337-246-7202
Provider Enumeration Date:
05/06/2020