Individual
REUBEN E AIMIENOHOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 WILBER CT APT B, GRETNA, LA 70056-8022
(504) 287-1021
Mailing address
1021 WILBER CT APT B, GRETNA, LA 70056-8022
(504) 287-1021
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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