Organization
COMMUNITY HEALTH & WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL DENISE ROGERS FNP (OWNERNURSE PRACTITIONER)
(318) 448-3410
Entity
Organization
Contact information
Practice address
4219 HIGHWAY 28 E, PINEVILLE, LA 71360-5767
(318) 448-3410
(318) 448-3420
Mailing address
4219 HIGHWAY 28 E, PINEVILLE, LA 71360-5767
(318) 448-3410
(318) 448-3420
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/20/2010
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