MICHAEL FAZENDE

NEW ORLEANS, LA
NPI1477998417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  a1887)
Enumeration Date2013-05-03
Last Update Date2013-05-03
Business Address
-- MICHAEL FAZENDE
3419 SAINT CLAUDE AVE
NEW ORLEANS, LA 70117-6144
Phone number: 504-279-6414
Mailing Address
-- MICHAEL FAZENDE
431 CENTRAL AVE
JEFFERSON, LA 70121-3407
Phone number:
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