Search › Louisiana › 171000000X
Leaf Ballast
NPI 1043146269 · on the registry since 2026
Practice
- Address
- 810 Rapatel St
Mandeville, LA 70448 - Phone
- (850) 736-3840
Registry record
- Primary taxonomy
- 171000000X
171000000X
- Sex
- Male
- Record last updated
- 2026-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana