Organization
SELA AQUATICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DOWIE (PRESIDENT)
(504) 451-2979
Entity
Organization
Contact information
Practice address
5206 LONE PINE LN, BATON ROUGE, LA 70809-3169
(504) 451-2979
Mailing address
5206 LONE PINE LN, BATON ROUGE, LA 70809-3169
(504) 451-2979
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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