DERRICK FREEMAN

NEW ORLEANS, LA
NPI1760859813
Entity TypeOrganization
Authorized ContactDERRICK FREEMAN
Clinical Administrator
504-905-9670
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: LA  SA0010691)
Enumeration Date2015-08-25
Last Update Date2015-08-25
Business Address
DERRICK FREEMAN
5630 CROWDER BLVD SUITE 208
NEW ORLEANS, LA 70127-2429
Phone number: 504-905-9670
Mailing Address
DERRICK FREEMAN
5630 CROWDER BLVD SUITE 208
NEW ORLEANS, LA 70127-2429
Phone number: 504-905-9670
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