Individual
JEFFREY MICHAEL BAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
2637 EDENBORN AVE, SUITE 301, METAIRIE, LA 70002-7045
(504) 455-2446
Mailing address
1209 PASADENA AVE, METAIRIE, LA 70001-3562
(504) 208-7115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132113
LA
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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