Organization
THE EXTRA MILE, REGION VIII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA ANNETTE TURNER-LARRY (EXECUTIVE DIRECTOR)
(318) 388-6088
Entity
Organization
Contact information
Practice address
912 SAINT JOHN ST, MONROE, LA 71201-8440
(318) 322-5972
(318) 322-9875
Mailing address
1900 LAMY LN, STE. C & D, MONROE, LA 71201-9207
(318) 388-6088
(381) 388-6872
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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