Individual
JANUARY R. DUBROC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200153
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00928749
—
MS
05
—
1048844
—
LA
Enumeration date
03/14/2008
Last updated
08/14/2008
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