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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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