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Organization

JUSTJEN,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER STIERWALD RNFA (CEO)
(504) 952-0523
Entity
Organization

Contact information

Practice address
50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
(504) 952-0523
Mailing address
50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
(504) 952-0523

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447723853
N/A
LA
Enumeration date
01/23/2019
Last updated
01/23/2019
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