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ANTHONIA N. IMUDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3715 WILLIAMS BLVD, SUITE 100, KENNER, LA 70065-3075
(504) 468-6645
Mailing address
1008 CHATEAU LAFITTE DR W, KENNER, LA 70065-1998
(504) 472-9222

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04583
LA

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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