New Life Medical Center

NPI 1073848354 - Family Medicine - 207Q00000X

NPI Details
NPI 1073848354
Enumeration Date 10/05/2009
Last Updated 10/05/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MIRIAM SONG MIRIAM
Position OWNER
Phone (985) 542-7392
Fax (985) 542-7393
Practice Location
50057 HWY 51 NORTH
TICKFAW LA, 70466, US
Phone (985) 542-7392
Fax (985) 542-7393
Business Location
50057 HWY 51 NORTH
TICKFAW LA, 70466, US
Phone (985) 542-7392
Fax (985) 542-7393
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, New Life Medical Center NPI is 1073848354, taxonomy code is 207Q00000X New Life Medical Center physically located at 50057 Hwy 51 North, Tickfaw LA, 70466. NPI Number 1033115704 has the healthcare provider type.

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1073848354 NPI number is provided on an as is basis without warranty of any kind. 1073848354 is maintained by the National Plan & Provider Enumeration System. The contents of New Life Medical Center are for informational purposes only.