Most Relevant Information
Provider Data
| NPI Number: | 1003449679 |
| Provider Name: | TERRAN SWEENEY MLS(ASCP) |
| Entity Type: | Individual |
| Taxonomy Code: | 156F00000X |
| Specialty: | Technician/Technologist |
| License Number: | 11278 |
Most Important Dates
| Enumeration Date: | 02/21/2020 |
| Last Updated: | 02/21/2020 |
Provider Practice Location
303 S HUNTINGTON ST
SULPHUR
LA
706633335
Practice Location Phone/Fax
| Phone: | 3374851220 |
| Fax: |
Provider Mailing Location
303 S HUNTINGTON ST
SULPHUR
LA
706633335
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |