Organization
MARIAN'S MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWANETTE COLLINS (CEO)
(225) 454-6852
Entity
Organization
Contact information
Practice address
11447 FLORIDA BLVD, BATON ROUGE, LA 70815-2404
(225) 454-6852
Mailing address
PO BOX 41092, BATON ROUGE, LA 70835-1092
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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