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Organization
WOUND CARE NP OF SOUTHEAST LA LLC
Active
Organization
WOUND CARE NP OF SOUTHEAST LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MELTON DUCOTE (FNP-C)
(504) 897-7732
Entity
Organization
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-7732
Mailing address
70380 HIGHWAY 21, SUITE 2 #242, COVINGTON, LA 70433-3420
(504) 236-3751
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP09197
LA
Other
Enumeration date
05/23/2017
Last updated
03/14/2018
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