Organization
LITTLE TOES BUTTON NOSE
Active
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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