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Individual

DR. JASMINE R ELISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4224 HOUMA BLVD, SUITE 150, METAIRIE, LA 70006-2933
(504) 456-2691
(504) 456-2692
Mailing address
4224 HOUMA BLVD, SUITE 150, METAIRIE, LA 70006-2933
(504) 456-2691
(504) 456-2692

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
201726
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020206
LA
Enumeration date
07/02/2006
Last updated
05/01/2020
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