Individual
JENNESIA M PRIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 OKEEFE AVE APT 5N29, NEW ORLEANS, LA 70113-1986
(404) 626-5989
Mailing address
611 OKEEFE AVE APT 5N29, NEW ORLEANS, LA 70113-1986
(404) 626-5989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6580
LA
Other
Enumeration date
03/10/2015
Last updated
06/11/2015
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