Individual
CHAD MAZOUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5923 COLBERT ST, NEW ORLEANS, LA 70124-2910
(504) 913-3782
Mailing address
5923 COLBERT ST, NEW ORLEANS, LA 70124-2910
(504) 913-3782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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