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Organization
INTEGRATED WOMEN'S HEALTH LLC
Active
Organization
INTEGRATED WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRESA WALLACE NP (OWNER)
(504) 309-2576
Entity
Organization
Contact information
Practice address
110 BELLEMEADE BLVD STE A, GRETNA, LA 70056-7142
(504) 309-2576
(504) 309-2589
Mailing address
110 BELLEMEADE BLVD STE A, GRETNA, LA 70056-7142
(504) 309-2576
(504) 309-2589
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP07277
LA
Other
Enumeration date
01/09/2017
Last updated
03/09/2017
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