Organization
ST. JOSEPH'S CLINIC OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE RABENALDT (CREDENTIALING COORDINATOR)
(337) 330-2576
Entity
Organization
Contact information
Practice address
1409 CHURCH ST, JEANERETTE, LA 70544-4407
(337) 276-6018
(337) 901-5805
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 330-2576
(337) 321-6295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
08/28/2025
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