Individual
MARY FAITH JOUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1051 GAUSE BLVD STE 360, SLIDELL, LA 70458-2999
(985) 641-5523
(985) 645-9411
Mailing address
1051 GAUSE BLVD STE 360, SLIDELL, LA 70458-2999
(985) 641-5523
(985) 645-9411
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
020615
MS
207RI0200X
Infectious Disease Physician
Primary
22320
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978540
—
LA
Enumeration date
03/20/2006
Last updated
05/19/2021
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