A Life Choice For Personal Enhancement, Llc

NPI 1104180884 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104180884
Enumeration Date 06/27/2012
Last Updated 06/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TRICIA MARIE TRICIA
Position DIRECTOR
Phone (504) 362-0504
Fax (504) 362-0504
Practice Location
401 WHITNEY AVE
604
GRETNA LA, 70056-2558, US
Phone (504) 362-0504
Fax (504) 362-0504
Business Location
401 WHITNEY AVE
604
GRETNA LA, 70056-2558, US
Phone (504) 362-0504
Fax (504) 362-0504
Toxanomy
Taxonomy Code 251S00000X
License State Louisiana
License Number 4671998
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According to our database, A Life Choice For Personal Enhancement, Llc NPI is 1104180884, taxonomy code is 251S00000X and license number is 4671998, license state is located at Louisiana. A Life Choice For Personal Enhancement, Llc physically located at 401 Whitney Ave, Gretna LA, 70056-2558. NPI Number 1033115704 has the healthcare provider type.

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1104180884 NPI number is provided on an as is basis without warranty of any kind. 1104180884 is maintained by the National Plan & Provider Enumeration System. The contents of A Life Choice For Personal Enhancement, Llc are for informational purposes only.