Individual
ANTON JEROME CLAYBORNE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 MANHATTAN BLVD STE 301, HARVEY, LA 70058-5359
(504) 309-4628
Mailing address
941 WYNDHAM S, GRETNA, LA 70056-8387
(504) 509-8632
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
08/27/2019
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