Individual
WILLIAM TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 W TUNNEL BLVD, HOUMA, LA 70360-5591
(985) 746-5681
(985) 293-7143
Mailing address
427 W TUNNEL BLVD # A, HOUMA, LA 70360-5591
(985) 746-5681
(985) 293-7143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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