Growing Up Children's Clinic Llc

NPI 1417118175 - Independent Medical Examiner - 202C00000X

NPI Details
NPI 1417118175
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DAPHNE ANN DAPHNE
Position OFFICE MANAGER
Phone (504) 392-2580
Fax (504) 392-2527
Practice Location
145 LAPALCO BLVD
SUITE B
GRETNA LA, 70056-7149, US
Phone (504) 392-2580
Fax (504) 392-2527
Business Location
145 LAPALCO BLVD
SUITE B
GRETNA LA, 70056-7149, US
Phone (504) 392-2580
Fax (504) 392-2527
Toxanomy
Taxonomy Code 202C00000X
License State Louisiana
License Number 023017
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According to our database, Growing Up Children's Clinic Llc NPI is 1417118175, taxonomy code is 202C00000X and license number is 023017, license state is located at Louisiana. Growing Up Children's Clinic Llc physically located at 145 Lapalco Blvd, Gretna LA, 70056-7149. NPI Number 1033115704 has the healthcare provider type.

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1417118175 NPI number is provided on an as is basis without warranty of any kind. 1417118175 is maintained by the National Plan & Provider Enumeration System. The contents of Growing Up Children's Clinic Llc are for informational purposes only.