Individual
CALLI VANLANGENDONCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3417 WILLIAMS BLVD, KENNER, LA 70065-3725
(504) 461-9660
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
328003
LA
363A00000X
Physician Assistant
Primary
328003
LA
Other
Enumeration date
07/10/2021
Last updated
08/16/2021
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