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Individual

LESLIE MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2600 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7156
(504) 391-7670
Mailing address
7320 SYCAMORE ST, NEW ORLEANS, LA 70118-5425
(504) 583-0833

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/05/2014
Last updated
09/05/2014
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