Organization
LITTLE TOES BUTTON NOSE
Active
Other names
Little Toes Button Nose
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIKA DANIELLE COLLINS (OWNER)
(337) 304-6247
Entity
Organization
Contact information
Practice address
247 W SALLIER ST, LAKE CHARLES, LA 70601-5843
(337) 602-6004
(337) 602-6037
Mailing address
247 W SALLIER ST, LAKE CHARLES, LA 70601-5843
(337) 602-6004
(337) 602-6037
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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