Organization
STELLAR INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA GONZALEZ MD (MEMBER)
(985) 789-4302
Entity
Organization
Contact information
Practice address
82282 HIGHWAY 1082, BUSH, LA 70431-2564
(985) 789-4302
Mailing address
82282 HIGHWAY 1082, BUSH, LA 70431-2564
(985) 789-4302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
09/14/2022
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