Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 0610 | LA |
NPI | 1518152156 |
---|---|
Provider Name | Sherry Belgard |
First Address | Alexandria, LA 71315-4026 |
Second Address | Pineville, LA 71360-2731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2007 |
Last Update Date | 06/09/2007 |