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MISS MARY GENEVIEVE CULOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 899-2800
Mailing address
1717 ST. CHARLES AVENUE, NEW ORLEANS, LA 70130
(504) 899-2800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200778
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00034366
MS
05
2393235
LA
Enumeration date
11/05/2014
Last updated
01/06/2016
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