Individual
MISTY BARFOOT GRANING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 PENNSYLVANIA ST, NEW ROADS, LA 70760-3654
(318) 729-2121
(318) 757-2310
Mailing address
108 PENNSYLVANIA ST, NEW ROADS, LA 70760-3654
(318) 729-2121
(318) 757-2310
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A9264
LA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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