Individual
EVA JUNE MATILDA CUTTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 HANSON DR, HOUMA, LA 70360-8012
(318) 773-4684
Mailing address
204 HANSON DR, HOUMA, LA 70360-8012
(318) 773-4684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10548
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1625183
—
LA
Enumeration date
07/18/2012
Last updated
02/28/2013
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