Organization
OPTI-HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY DON THERIOT APRN-BC (OWNER)
(337) 344-4977
Entity
Organization
Contact information
Practice address
213 E ETIENNE RD, MAURICE, LA 70555-4375
(337) 740-9663
Mailing address
11150 HARRIS LN, MAURICE, LA 70555-3629
(337) 344-4977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
12/06/2024
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