Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 308 Palmer St, Welsh, Louisiana |
Authorized Official Name and Position | Victor Elokan Ndando-ngoo (FOUNDER/CEO) |
Authorized Official Contact | 7132928739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1015 Lake Charles LA 70602-1015 Ph: (713) 292-8739 | 308 Palmer St Welsh LA 70591-4320 Ph: (713) 292-8739 |
NPI Number | 1053711887 |
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Provider Enumeration Date | 08/28/2014 |
Last Update Date | 08/28/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053711887 | NPI | - | NPPES |