Individual
MR. JOSHUA ANDRE WARREN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6813 SUTTON DR, BATON ROUGE, LA 70812-1365
(225) 270-6531
Mailing address
6813 SUTTON DR, BATON ROUGE, LA 70812-1365
(225) 270-6531
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
008918519
LA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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