Organization
MASTECTOMY ESSENTIALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVANGELINE LECOMPTE (OWNER)
(985) 852-9025
Entity
Organization
Contact information
Practice address
166 CORPORATE DR STE 140, HOUMA, LA 70360-2766
(985) 850-2729
(985) 876-6853
Mailing address
166 CORPORATE DR STE 140, HOUMA, LA 70360-2766
(985) 850-2729
(985) 876-6853
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
OC23303
LA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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