TRENT MATTHEW WIEDEMANN

NEW ORLEANS, LA
NPI1417584145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  334753)
Enumeration Date2020-03-24
Last Update Date2023-08-08
Business Address
TRENT MATTHEW WIEDEMANN
478 S JOHNSON ST
NEW ORLEANS, LA 70112-2238
Phone number: 504-412-1580
Mailing Address
TRENT MATTHEW WIEDEMANN
478 S JOHNSON ST FL 7
NEW ORLEANS, LA 70112-2238
Phone number: 504-412-1580
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