Organization
SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN JOSEPH BROUSSEAU (CERTIFIED RESPIRATORY THERAPY TECH)
(504) 948-9809
Entity
Organization
Contact information
Practice address
1601 PERDIDO ST,, NEW ORLEANS, LA 70112
(504) 568-0811
Mailing address
3403 ALLEN ST., NEW ORLEANS, LA 70111-2913
(504) 948-9809
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LT1561
LA
Other
Enumeration date
10/18/2006
Last updated
06/26/2008
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