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Organization
ALFEREZ, LLC
Active
Organization
ALFEREZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY E MARTINEZ (CLINIC ADMINISTRATION)
(504) 417-3728
Entity
Organization
Contact information
Practice address
4700 WICHERS DR, SUITE 304, MARRERO, LA 70072-3054
(504) 644-4787
(504) 644-4790
Mailing address
4700 WICHERS DRIVE, SUITE 304, MARRERO, LA 70072-3054
(504) 644-4787
(504) 274-1332
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
16902
LA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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