Individual
MS. EDEN YUMENA TABLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1855 AMES BLVD, MARRERO, LA 70072-3429
(504) 349-8802
(504) 349-8817
Mailing address
3521 LAKE KRISTIN DR, GRETNA, LA 70056-8346
(504) 349-8802
(504) 349-8817
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN091814 APO1236
LA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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