# HUNNICOMB OF WELLNESS & BEAUTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558073957
- **Authorized official:** TERRICA WILLIAMS FNP (MANAGER)
- **Authorized official phone:** (505) 275-9857

## Contact information

- **Practice address:** 301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
- **Practice address phone:** (504) 275-9857
- **Practice address fax:** (504) 910-3075
- **Mailing address:** 301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
- **Mailing address phone:** (504) 275-9857
- **Mailing address fax:** (504) 910-3075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2022
- **Last updated:** 12/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2378821 | — | LA |