Mmo Jennings, Llc

NPI 1073594610 - Clinic/Center - 261QA0600X

NPI Details
NPI 1073594610
Enumeration Date 11/10/2005
Last Updated 01/11/2011
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT L ROBERT
Position CEO
Phone (337) 527-7878
Fax (337) 527-7880
Practice Location
110 DARBONNE ST.
STE. E
SULPHUR LA, 70663, US
Phone (337) 527-7878
Fax (337) 527-7880
Business Location
728 NORTH BOULEVARD
BATON ROUGE LA, 70802-5724, US
Phone (225) 293-6774
Fax (225) 291-9229
Toxanomy
Taxonomy Code 261QA0600X
License State Louisiana
License Number 11693
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According to our database, Mmo Jennings, Llc NPI is 1073594610, taxonomy code is 261QA0600X and license number is 11693, license state is located at Louisiana. Mmo Jennings, Llc physically located at 110 Darbonne St., Sulphur LA, 70663. NPI Number 1033115704 has the healthcare provider type.

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1073594610 NPI number is provided on an as is basis without warranty of any kind. 1073594610 is maintained by the National Plan & Provider Enumeration System. The contents of Mmo Jennings, Llc are for informational purposes only.