Individual
MADISON E VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(855) 550-5308
Mailing address
134 DIXIE DR, DES ALLEMANDS, LA 70030-3319
(504) 452-1175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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