Individual
JAMES MALFRED DIBBLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2235 POYDRAS ST STE B, NEW ORLEANS, LA 70119-7561
(504) 524-7205
(504) 581-4702
Mailing address
828 HICKORY ST, TERRYTOWN, LA 70056-5216
(504) 407-9105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
760810
LA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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