Individual
BLAKE LANGSTON MILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
314 TEAKWOOD DR, YOUNGSVILLE, LA 70592-5223
(337) 349-9028
Mailing address
314 TEAKWOOD DR, YOUNGSVILLE, LA 70592-5223
(337) 349-9028
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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