Individual
LAQUINTA DIANE METOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200795
LA
363A00000X
Physician Assistant
PA10235
TX
363AM0700X
Medical Physician Assistant
Primary
PA10235
TX
Other
Enumeration date
06/28/2015
Last updated
07/12/2023
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