Individual
TRENT VAN FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3616 S I 10 SERVICE RD W, METAIRIE, LA 70001-1874
(504) 846-6901
Mailing address
3616 S I 10 SERVICE RD W, METAIRIE, LA 70001-1874
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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