Individual
MRS. JONI NICOLE CLAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5825 AIRLINE HWY, EMERGENCY MEDICINE RESIDENCY PROGRAM, BATON ROUGE, LA 70805-2408
(225) 358-3940
Mailing address
5825 AIRLINE HWY, EMERGENCY MEDICINE RESIDENCY PROGRAM, BATON ROUGE, LA 70805-2408
(225) 358-3940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AS33513114404
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005207
—
LA
Enumeration date
08/13/2007
Last updated
08/13/2007
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