specializing in family medicine in Deridder, Louisiana
NPI: 1467632299
Provider Type
2
Practice Locations
Mailing Location
403 W 8TH ST
DERIDDER, LA 70634
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:11/8/2007
Last Updated:12/6/2011
Credentials
Primary Credential: