Individual
TAMMIE ANN DENOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BOCP COF C52425
Contact information
Practice address
4000 BIENVILLE ST STE D, NEW ORLEANS, LA 70119-5163
(504) 500-1349
Mailing address
4000 BIENVILLE ST STE D, NEW ORLEANS, LA 70119-5163
(504) 500-1349
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
C52425
LA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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