Organization
DISCIPLESHIP CONSULTANT REALTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERTIS' AENISE JESSIE OWNER/ FOUNDER (CEO)
(504) 371-0556
Entity
Organization
Contact information
Practice address
2005 AMES BLVD, SUITE #B, MARRERO, LA 70072-4719
(504) 371-0556
Mailing address
2005 AMES BLVD, SUITE #B, MARRERO, LA 70072-4719
(504) 371-0556
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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