Individual
GUIDO V DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
EARL K. LONG HOSPITAL, LSU UNIT, 5825 AIRLINE HWY, BATON ROUGE, LA 70805
(225) 358-3938
Mailing address
1340 POYDRAS ST, NEW ORLEANS, LA 70112-1221
(504) 412-1860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10510R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651753
—
LA
Enumeration date
07/24/2006
Last updated
05/17/2019
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