Individual
MRS. KATHERINE STAGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 736-4800
Mailing address
2008 ABADIE AVE, METAIRIE, LA 70003-4612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200427
LA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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