Individual
CHARLES HUNTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363
Mailing address
2911 CAMERON ST, MONROE, LA 71201-3713
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17M00000X
—
LA
Enumeration date
10/01/2018
Last updated
10/01/2018
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