Monroe Stith, none
Religious Nonmedical Practitioner in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1912419441
StatusActive
Last updated in NPPESOct 24, 2017
Details
- NPI
- 1912419441
- Entity type
- Individual (NPI-1)
- Name
- Monroe Stith
- Credential
- none
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2017
- Last updated
- Oct 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374K00000X | Religious Nonmedical Practitioner | – | LA | Yes |
Practice location
12097 Old Hammond Hwy Ste I1Baton Rouge, LA 70816-8679
Phone 225-421-1881 · Fax 225-421-1882
Mailing address
12097 Old Hammond Hwy Ste I1Baton Rouge, LA 70816-8679
Phone 225-421-1881 · Fax 225-421-1882
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