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TANQUILA LASALLE

Prosthetics Case Management

NPI: 1770220329Individual

Specialties, Licenses & Credentials

Specialist — Prosthetics Case Management

Code: 1744P3200X

L142600526(LA)

Contact & Hours

Address
2601 HODGES ST
LAKE CHARLES, LA 70601

Quick Facts

NPI
1770220329
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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