Individual
THERON LATRELL CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4618 READ BLVD, NEW ORLEANS, LA 70127-3628
(504) 536-0016
Mailing address
4618 READ BLVD, NEW ORLEANS, LA 70127-3628
(504) 536-0016
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007821793
LA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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