Individual
TERESA HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 S WASHINGTON ST, DERIDDER, LA 70634-4061
(337) 396-6750
Mailing address
109 S WASHINGTON ST, DERIDDER, LA 70634-4061
(337) 396-6750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA8306
LA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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