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Individual

MIA A SINGLETON-BEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
920 N. MAIN ST., OPELOUSAS, LA 70570
(337) 407-8697
(337) 407-9096
Mailing address
PO BOX 2147, OPELOUSAS, LA 70571-2147
(337) 407-8697
(337) 407-9096

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022773
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1449482
LA
01
721467200
TAX ID #
LA
Enumeration date
11/17/2006
Last updated
03/30/2011
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