Organization
MINUTECLINIC DIAGNOSTIC OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
4401 S CLAIBORNE AVE, NEW ORLEANS, LA 70125
(866) 389-2727
Mailing address
PO BOX 772, CREDENTIALING-MC 2295, WOONSOCKET, RI 02895-0784
(866) 389-2727
(401) 406-3539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
07/24/2024
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