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Individual

CHARICE M HEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3256 HWY 190, EUNICE, LA 70535-5125
(337) 550-8530
Mailing address
3256 HWY 190, EUNICE, LA 70535-5125
(337) 550-8530

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13543R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1483753
LA
Enumeration date
07/07/2005
Last updated
09/09/2016
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