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Individual

MRS. MIRIAM FERRAND BECNEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
2218 BURDETTE ST, NEW ORLEANS, LA 70118-4206
(504) 810-6110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200739
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09084825
MS
05
2377841
LA
Enumeration date
08/20/2014
Last updated
04/21/2015
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