Individual
CHARLES FREDERICK HEARNS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 WASHINGTON AVE, BATON ROUGE, LA 70802-2877
(225) 888-3002
Mailing address
2640 WASHINGTON AVE, BATON ROUGE, LA 70802-2877
(225) 888-3002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
05/12/2020
Last updated
05/13/2020
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