Provider First Line Business Practice Location Address:
21255 LA HIGHWAY 1, B-2303, HEALTH SERVICES
Provider Second Line Business Practice Location Address:
THE DOWN CHEMICAL COMPANY
Provider Business Practice Location Address City Name:
PLAQUEMINE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70764
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-353-8292
Provider Business Practice Location Address Fax Number:
225-353-6198
Provider Enumeration Date:
02/16/2007