Individual
JIM QUACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL TECHNOLOGIST
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
2543 JARED LN, MARRERO, LA 70072-6003
(504) 345-6488
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
CLP.203610-GEN
LA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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