| NPI | 1730791831 |
|---|---|
| Doing Business As | TULANE LIVING WELL CLINIC - UPTOWN |
| Entity Type | Organization |
| Authorized Contact | DELONDER JOHNSON Credentialing Specialist 504-988-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |