Individual
BYRON J EDMONSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1799 STUMPF BLVD STE 6, TERRYTOWN, LA 70056-3950
(504) 301-0811
(504) 301-0811
Mailing address
4641 DREUX AVE, NEW ORLEANS, LA 70126-3509
(504) 710-2006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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