Individual
KEWA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 ALFRED ST, NEW ORLEANS, LA 70122-2025
(504) 248-8486
Mailing address
5901 ALFRED ST, NEW ORLEANS, LA 70122-2025
(504) 248-8486
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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