Organization
T & T KLICK, LLC
Active
Other names
Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI LYNN KLICK FNP-C (OWNER)
(318) 248-4100
Entity
Organization
Contact information
Practice address
107 LELA ST, MANGHAM, LA 71259-5063
(318) 248-4100
(318) 248-4103
Mailing address
107 LELA ST, MANGHAM, LA 71259-5063
(318) 248-4100
(318) 248-4103
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APO6543
LA
Other
Enumeration date
09/06/2011
Last updated
10/20/2011
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