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 |