Individual
AMY SEQUEIRA ANZALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1401A JEFFERSON HWY, JEFFERSON, LA 70121-2426
(326) 050-4842
Mailing address
1401A JEFFERSON HWY, JEFFERSON, LA 70121-2426
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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