Individual
MR. CHRISTOPHER CHARLES FOLSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4636
(985) 778-2668
Mailing address
385 GARDEN AVE, MANDEVILLE, LA 70471-2923
(985) 705-7272
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
52-0089202-1
LA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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