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Organization
DJ ANESTHESIA SERVICES, LLC
Active
Organization
DJ ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE MARIE JOLLY CRNA (CERTIFIED NURSE ANESTHETIST)
(504) 237-2249
Entity
Organization
Contact information
Practice address
1330 SERE ST, NEW ORLEANS, LA 70122-1426
(504) 237-2249
(504) 286-0604
Mailing address
1330 SERE ST, NEW ORLEANS, LA 70122-1426
(504) 237-2249
(504) 286-0604
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
RN047457
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1686255
—
LA
Enumeration date
08/23/2006
Last updated
09/20/2007
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