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Individual

MISS JENNIFER MARY PREMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCO

Contact information

Practice address
2800 VETERANS MEMORIAL BLVD., SUITE 200, METAIRIE, LA 70002
(504) 522-2354
(504) 596-6733
Mailing address
2800 VETERANS MEMORIAL BLVD., SUITE 200, METAIRIE, LA 70002
(504) 522-2354
(504) 596-6733

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary

Other

Enumeration date
09/01/2017
Last updated
07/21/2022
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