Individual
DR. FRESHNEDIE JACALAN VALEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE S-350, MARRERO, LA 70072-3151
(504) 349-6350
(504) 349-6355
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-350, MARRERO, LA 70072-3151
(504) 349-6350
(504) 349-6355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03753R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1183741
—
LA
Enumeration date
07/20/2005
Last updated
07/09/2007
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