Individual
JADE SANGUANRUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 DREXEL DR, NEW ORLEANS, LA 70125-1098
(504) 520-5119
Mailing address
1 DREXEL DR, NEW ORLEANS, LA 70125-1098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1226648
LA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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