Individual
ALLISON CAMPO HARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 ST LANDRY ST, STE 2B, LAFAYETTE, LA 70506
(337) 235-4554
(337) 235-4556
Mailing address
224 ST LANDRY ST, STE 2B, LAFAYETTE, LA 70506
(337) 235-4554
(337) 235-4556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14022R
LA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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