Individual
OLIVIA DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 899-9511
Mailing address
4718 CONTI ST, NEW ORLEANS, LA 70119-4408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
323609
LA
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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