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Individual

MRS. MICHEL RICHARD MARTIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
116 DIAMOND CREEK DR, BROUSSARD, LA 70518-5322
(337) 257-5995
Mailing address
116 DIAMOND CREEK DR, BROUSSARD, LA 70518-5322
(337) 257-5995

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MDW.200011
LA

Other

Enumeration date
05/21/2014
Last updated
05/21/2014
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