Organization
WEST JEFFERSON PHYSICIAN SERVICES
Active
Organization
WEST JEFFERSON PHYSICIAN SERVICES
Active
Other names
West Jefferson Diabetes Prevention Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA GREENER (CHIEF ADMINISTRATIVE OFFICER)
(504) 349-6021
Entity
Organization
Contact information
Practice address
1121 MEDICAL CENTER BLVD., WEST JEFFERSON FITNESS CENTER, MARRERO, LA 70072
(504) 348-0055
(504) 347-4267
Mailing address
1101 MEDICAL CENTER BLVD., ATTN: HEIDI GWINN, MARRERO, LA 70072
(504) 349-1297
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942545
—
LA
Enumeration date
12/02/2013
Last updated
12/02/2013
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