Individual
ANTIMEDORA EMERLY JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR
Contact information
Practice address
3221 BEHRMAN PL STE 201, NEW ORLEANS, LA 70114-8204
(504) 263-2800
(504) 263-2900
Mailing address
3221 BEHRMAN PL STE 201, NEW ORLEANS, LA 70114-8204
(504) 263-2800
(504) 263-2900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7082416
—
LA
Enumeration date
09/18/2018
Last updated
09/18/2018
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