Individual
MIA JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CANAL ST STE 2720, NEW ORLEANS, LA 70112-3018
(504) 702-2500
Mailing address
5 SOMERVILLE CT, GREENVILLE, SC 29605-6438
(803) 257-7228
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/26/2026
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