Individual
MS. CARLA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10338 MONTRACHET DR, BATON ROUGE, LA 70817-7480
(225) 931-6806
Mailing address
10338 MONTRACHET DR, BATON ROUGE, LA 70817-7480
(225) 931-6806
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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