Individual
ANGEL FASCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11020 GUILDFORD RD, NEW ORLEANS, LA 70127-2337
(504) 427-0217
Mailing address
11020 GUILDFORD RD, NEW ORLEANS, LA 70127-2337
(504) 427-0217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1000740518
LA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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