Organization
LOUISIANA WELLNESS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN N HEINEN JR. (AGENT)
(337) 457-8166
Entity
Organization
Contact information
Practice address
151 LEON AVE, EUNICE, LA 70535-3917
(337) 457-8166
Mailing address
151 LEON AVE, EUNICE, LA 70535-3917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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