Individual
JAMILA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MEADOWCREST ST, GRETNA, LA 70056-5255
(504) 842-8780
Mailing address
120 MEADOWCREST ST, GRETNA, LA 70056-5255
(504) 842-8780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09002
LA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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