Organization
BUTTERFLY EFFECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY HASKINS (TALENT RECRUITER)
(954) 947-3205
Entity
Organization
Contact information
Practice address
5844 BIENVENUE AVE, MARRERO, LA 70072-4704
(504) 343-2523
Mailing address
5844 BIENVENUE AVE, MARRERO, LA 70072-4704
(504) 343-2523
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
010603117
LA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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