Graduated: 1999
NPI: 1679719603
Practice Locations (2)
CENTRAL LA HUMAN SERVICES DISTRICT
5411 COLISEUM BLVD
ALEXANDRIA, LA 713033729
3184846850
CENTRAL LA HUMAN SERVICES DISTRICT
694 GOVERNMENT ST
MARKSVILLE, LA 713512945
3182539638
Source: CMS National Downloadable File, September 2026.