Individual
MRS. CONSTANCE FAITH WELCOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
295 HIGHLAND DR, MANY, LA 71449-3717
(318) 256-6285
Mailing address
200 HIGHWAY 121, LEESVILLE, LA 71446-7121
(337) 392-0779
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTT.200153
LA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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