Individual
BLANE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112-2865
(504) 568-5600
Mailing address
1420 ANNUNCIATION ST, NEW ORLEANS, LA 70130-4510
(337) 515-9312
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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