Individual
VALERIE SMITH FAVORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3201 S CARROLLTON AVE, NEW ORLEANS, LA 70118-4307
(504) 207-3060
(504) 207-3067
Mailing address
4665 MUSIC ST, NEW ORLEANS, LA 70122-5024
(803) 637-1500
(803) 637-7191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001005497
NC
363A00000X
Physician Assistant
Primary
303819
LA
Other
Enumeration date
04/29/2015
Last updated
03/16/2017
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