Individual
HARLEY ANN AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 DIVISION ST, METAIRIE, LA 70002-5854
(504) 620-5520
Mailing address
857 TOPAZ ST, NEW ORLEANS, LA 70124-3625
(504) 287-9474
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
309191
LA
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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