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Individual

MR. FERNANDO E PALOMEQUE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 PROFESSIONAL DRIVE, HOUMA, LA 70360
(985) 868-1810
(985) 876-3670
Mailing address
12 PROFESSIONAL DRIVE, HOUMA, LA 70360
(985) 868-1810
(985) 876-3670

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009369
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1095303
LA
Enumeration date
04/10/2006
Last updated
07/08/2007
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