SHANAN RAY IMMEL

NEW ORLEANS, LA
NPI1881221315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-25
Last Update Date2020-03-25
Business Address
SHANAN RAY IMMEL MD
1415 TULANE AVE
NEW ORLEANS, LA 70112-2600
Phone number: 504-988-5263
Mailing Address
SHANAN RAY IMMEL MD
1430 TULANE AVE # 8050
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-7809
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