Organization
THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Active
Other names
Tulane Living Well Clinic - Uptown
Organization subpart
No
Provider details
NPI number
Authorized official
DELONDER JOHNSON BS (CREDENTIALING SPECIALIST)
(504) 988-1508
Entity
Organization
Contact information
Practice address
200 BROADWAY AVENUE, SUITE 108, NEW ORLEANS, LA 70118
(504) 988-8935
Mailing address
1430 TULANE AVE # 8422, NEW ORLEANS, LA 70112-2632
(504) 988-1508
(504) 988-3969
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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