Individual
JONTAY RUSSELL BLATCHER-BENION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10001 LAKE FOREST BLVD STE 607, NEW ORLEANS, LA 70127-6201
(504) 265-1230
Mailing address
10001 LAKE FOREST BLVD STE 607, NEW ORLEANS, LA 70127-6201
(504) 265-1230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
05/07/2019
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