Individual
KOURTNEY SIGNATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8423 QUIET CREEK DR, DENHAM SPRINGS, LA 70726-6620
(225) 223-0269
Mailing address
8423 QUIET CREEK DR, DENHAM SPRINGS, LA 70726-6620
(225) 223-0269
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
008829421
LA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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