Organization
CJMG HOLDINGS, LLC
Active
Other names
Ortho One
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY LAUREN ZAFFATER (MANAGING MEMBER)
(318) 673-8222
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, SUITE 312, SHREVEPORT, LA 71104
(318) 673-8222
(318) 673-8223
Mailing address
2620 CENTENARY BLVD, SUITE 312, SHREVEPORT, LA 71104
(318) 673-8222
(318) 673-8223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024961
—
LA
Enumeration date
02/15/2007
Last updated
03/10/2008
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