Provider First Line Business Practice Location Address:
211 4TH STREET
Provider Second Line Business Practice Location Address:
RAPIDES WOUND HEALING CENTER
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-769-4509
Provider Business Practice Location Address Fax Number:
318-769-4510
Provider Enumeration Date:
08/26/2011