Individual
JEAM-R ELAMBAYO MAGBANUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2614 JEFFERSON HWY, NEW ORLEANS, LA 70121-3828
(504) 291-5100
Mailing address
3517 N LABARRE RD, METAIRIE, LA 70002-3813
(504) 982-7856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229928
LA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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