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Individual

JAMIE ADELE RICALDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
7011 KENISON ST, APT REAR, NEW ORLEANS, LA 70124-1515
(985) 869-7863

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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