Individual
JACQUELINE JEAN ATALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-5771
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
294903
MA
207R00000X
Internal Medicine Physician
Primary
337415
LA
Other
Enumeration date
03/24/2019
Last updated
03/13/2024
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