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Individual

JASMINE SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4919 CANAL ST, NEW ORLEANS, LA 70119
(504) 483-9883
Mailing address
4919 CANAL ST, NEW ORLEANS, LA 70119-5848
(504) 483-9883

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
15583
LA

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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