Organization
AESTHETIC AND BREAST RESTORATIVE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DUPONT (CEO)
(985) 290-2358
Entity
Organization
Contact information
Practice address
6330 MOURNING DOVE DR, BATON ROUGE, LA 70817-1155
(225) 277-7200
Mailing address
PO BOX 732, PRAIRIEVILLE, LA 70769-0732
(225) 277-7200
(225) 277-7205
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
01/04/2025
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