Individual
JESSICA R MONTEGUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.013823
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125007
—
MS
05
—
1304760
—
LA
Enumeration date
05/19/2006
Last updated
08/12/2010
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