C J Pollet, O.d., Inc

NPI 1194091710 - Clinic/Center - 261QH0100X

NPI Details
NPI 1194091710
Enumeration Date 03/28/2012
Last Updated 06/06/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name C J C J
Position OWNER
Phone (985) 626-8744
Fax (985) 626-5244
Practice Location
3421 HIGHWAY 190
MANDEVILLE LA, 70471-3101, US
Phone (985) 626-8744
Fax (985) 626-5244
Business Location
3421 HIGHWAY 190
MANDEVILLE LA, 70471-3101, US
Phone (985) 626-8744
Fax (985) 626-5244
Toxanomy
Taxonomy Code 261QH0100X
License State Louisiana
License Number 986-117T
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According to our database, C J Pollet, O.d., Inc NPI is 1194091710, taxonomy code is 261QH0100X and license number is 986-117T, license state is located at Louisiana. C J Pollet, O.d., Inc physically located at 3421 Highway 190, Mandeville LA, 70471-3101. NPI Number 1033115704 has the healthcare provider type.

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1194091710 NPI number is provided on an as is basis without warranty of any kind. 1194091710 is maintained by the National Plan & Provider Enumeration System. The contents of C J Pollet, O.d., Inc are for informational purposes only.