Individual
MR. JUSTIN J. FLEETWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
967 HARDING DR, NEW ORLEANS, LA 70119-3817
(504) 650-3596
Mailing address
967 HARDING DR, NEW ORLEANS, LA 70119-3817
(504) 650-3596
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J-00148
LA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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