Individual
ELLEN LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 SAVOIE ST, HOUMA, LA 70364-1564
(985) 870-1952
Mailing address
108 SAVOIE ST, HOUMA, LA 70364-1564
(985) 870-1952
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
010496843
LA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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