Organization
SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM
Active
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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