Individual
ALLEN MICHAEL WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1726 JOB AVE, ZACHARY, LA 70791-5908
(225) 921-7829
Mailing address
1726 JOB AVE, ZACHARY, LA 70791-5908
(225) 921-7829
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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