Individual
MS. TORRI MARIE FAVORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 FARRAGUT ST, NEW ORLEANS, LA 70114-4715
(225) 258-0128
Mailing address
PO BOX 1131, GRETNA, LA 70054-1131
(225) 258-0128
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007025791
LA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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