Exotic Expressions Inc
Exotic Expressions Inc is an Exclusive Provider Organization in Breaux Bridge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.
- Licensed in
- LA
- In the registry since
- 2017
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
729 Cecile BlvdBreaux Bridge, LA 70517-5707
Phone: (337) 376-0473
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 11041986 (LA) |
|---|
Record details
| NPI number | 1295272623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shana Wiltz — Ceo · (337) 376-0473 |
| Other names | Shana Madalyn Wiltz |
| NPI enumerated | January 24, 2017 |
| Last updated in NPPES | January 24, 2017 |
| Mailing address | 729 Cecile Blvd, Bldg A- 1, Breaux Bridge, LA 70517-5707 |