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Individual

PHAEDRA DANNEL CRUELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 568-3130
Mailing address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN117982
LA

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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