Organization
ENCLAVE HEALTH PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEDO TAMAKLOE MD (MD (OWNER))
(318) 254-3001
Entity
Organization
Contact information
Practice address
327 JEFFERSON OAKS DR, RUSTON, LA 71270-7080
(318) 254-3001
Mailing address
327 JEFFERSON OAKS DR, RUSTON, LA 71270-7080
(318) 254-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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