Individual
DEDRICK O NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5630 CROWDER BLVD STE 208, NEW ORLEANS, LA 70127-2444
(504) 241-6006
(504) 241-6007
Mailing address
5630 CROWDER BLVD STE 208, NEW ORLEANS, LA 70127-2444
(504) 241-6006
(504) 241-6007
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
18886
LA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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