Individual
AMELIE STEPHENS GUARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
211 SENA DR, METAIRIE, LA 70005-3341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
307363
LA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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