Individual
MRS. MARY JANINE O HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2509 BROADMOOR BLVD, STE A, MONROE, LA 71201-2987
(318) 325-0600
(318) 325-0890
Mailing address
2509 BROADMOOR BLVD, STE A, MONROE, LA 71201-2987
(318) 325-0600
(318) 325-0890
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
021601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1660752
—
LA
Enumeration date
07/13/2006
Last updated
05/27/2021
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