Individual
ORLANDO PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4480 GENERAL DEGAULLE DR, SUITE 206, NEW ORLEANS, LA 70131-6941
(504) 905-6945
Mailing address
4480 GENERAL DEGAULLE DR, SUITE 206, NEW ORLEANS, LA 70131-6941
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472964148
—
LA
Enumeration date
04/26/2016
Last updated
04/26/2016
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