Extremity Cma, LLC

NPI #1659614865 in Ville Platte, Louisiana

Provider Information

NPI Number
1659614865
Entity Type
Organization
Organization Name
Extremity Cma, LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Apr 5, 2013
Last Updated
Apr 5, 2013

Practice Location

Address
2878 TATE COVE RD
ZIP Code
70586-6311
Phone
(337) 363-1237

Authorized Official

Name
MISS CHENILE TEZENO
Title
OWNER
Phone
(337) 363-1237

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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