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Children'S International, LLC

Clinic/Center, Primary Care in Baton Rouge, LA. Organization (NPI-2).

NPI number1124569397
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1124569397
Entity type
Organization (NPI-2)
Legal business name
Children'S International, LLC
Organization subpart
No
Enumeration date
Mar 20, 2017
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

730 Colonial Dr
Baton Rouge, LA 70806-6536

Phone 225-924-7343 · Fax 225-924-7347

Mailing address

59101 Amber St
Slidell, LA 70461-3708

Phone 985-646-1580 · Fax 985-646-1579

Authorized official

Eduardo Hernandez
Chief Executive Officer
9856461580

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