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Individual

VANESSA SUMLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1829 CARONDELET ST, NEW ORLEANS, LA 70130-5207
(504) 232-2332
Mailing address
1339 LIZARDI ST, NEW ORLEANS, LA 70117-3625
(150) 423-2233

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
821863330
INTERNAL REVENUE
LA
Enumeration date
04/14/2018
Last updated
06/16/2018
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