Individual
ASHLEY VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112-2865
(504) 568-5600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
009789483
LA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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