Individual
CONSTANCE HALL-CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 CHURCH ST, ZACHARY, LA 70791
(225) 654-8208
(225) 654-4642
Mailing address
1326 CHURCH ST, ZACHARY, LA 70791
(225) 654-8208
(225) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4661
LA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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