Individual
AMANDA THEPPOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-0450
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
322906
LA
Other
Enumeration date
04/15/2015
Last updated
04/19/2024
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