Provider First Line Business Practice Location Address:
104 LOUISIANA AVE
Provider Second Line Business Practice Location Address:
RMC FERRIDAY CLINIC
Provider Business Practice Location Address City Name:
FERRIDAY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71334-2826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-757-0210
Provider Business Practice Location Address Fax Number:
318-757-0244
Provider Enumeration Date:
12/19/2006