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Individual

MARICELLE ORACION ONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 W ESPLANADE AVE, SUITE 409, KENNER, LA 70065-2489
(504) 471-2757
(504) 471-2764
Mailing address
200 W ESPLANADE AVE, SUITE 409, KENNER, LA 70065-2489
(504) 471-2757
(504) 471-2764

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A113922
CA
207Q00000X
Family Medicine Physician
MD204585
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
05/15/2008
Last updated
07/06/2011
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