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Individual

VICTORIA NGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 VINTAGE DR, KENNER, LA 70065-1776
(504) 481-9334
Mailing address
54 SEVEN OAKS RD, MARRERO, LA 70072-5024
(504) 481-9334

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
213374
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
213374
LA

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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