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Individual

NIA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 736-4800
Mailing address
4309 W NAPOLEON AVE, B208, METAIRIE, LA 70001-2579

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200440
LA

Other

Enumeration date
10/01/2015
Last updated
10/01/2015
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