Individual
MS. DEANTHIEUS MONIQUE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
422 COLONIAL DR, BATON ROUGE, LA 70806
(225) 292-5151
Mailing address
13737 OUACHITA AVE, BATON ROUGE, LA 70818-2830
(225) 588-2208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
10/24/2018
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