Organization
WASHINGTON WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURNACHANDRA R YERNENI M.D. (SOLE MBR)
(985) 732-9940
Entity
Organization
Contact information
Practice address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9940
(985) 732-9884
Mailing address
1011 AVENUE F, BOGALUSA, LA 70427-4334
(985) 732-9940
(985) 732-9884
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10096R
LA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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