Louisiana
Board of Licensing
Latino Ellie Barham
Medical
License number
PA.200458
Date expires
04/30/2015
Class
Medical
Status
Active
Address
7777 Hennessy Blvd., Ste. 1008, Baton Rouge, LA 70808
louisianalicensing.com
ID 22006025
LAST UPDATED 2024-03-27 11:14:19 UTC
LAST UPDATED 2024-03-27 11:14:19 UTC