Provider First Line Business Practice Location Address:
UNIVERSITY OF LOUISIANA AT MONROE
Provider Second Line Business Practice Location Address:
700 UNIVERSITY AVE
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71209-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-342-1392
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/04/2016