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1215559505
MATTHEW PERALTA
HAMMOND, LA
NPI
1215559505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: LA 282NR1301X)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
MATTHEW PERALTA ARDMS
15790 PAUL VEGA MD DR
HAMMOND, LA 70403-1434
Phone number: 985-705-4475
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Mailing Address
MATTHEW PERALTA ARDMS
1776 CONTINENTAL DR UNIT 221
COVINGTON, LA 70433-7280
Phone number: 985-705-4475
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