Individual
MARYANNE L COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.
Contact information
Practice address
721 PARK RIDGE DR, RIVER RIDGE, LA 70123-1182
(504) 738-5273
Mailing address
721 PARK RIDGE DR, RIVER RIDGE, LA 70123
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1951
LA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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