Graduated: 2020
NPI: 1396318978
Practice Locations (2)
LOUISIANA STAT CARE LLC
11055 SHOE CREEK DR
BATON ROUGE, LA 708184022
22526144931
IMPACT NETWORK LLC
5130 MANCUSO LN
BATON ROUGE, LA 708093583
2254909600
Source: CMS National Downloadable File, September 2026.