Louisiana
Board of Licensing
Prudhomme Tasha N.
Medical
License number
CLP.203212-LAB
Date expires
12/31/2014
Class
Medical
Status
Active
Address
1910 Oak Park Boulevard, Lake Charles, LA 70601
louisianalicensing.com
ID 21833353
LAST UPDATED 2024-05-05 21:29:40 UTC
LAST UPDATED 2024-05-05 21:29:40 UTC