Provider First Line Business Practice Location Address:
2213 PLEASANT HALL SCHOOL OF KINESIOLOGY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70803-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-578-0065
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2012