Individual
ZACHARY BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1401 A JEFFERSON HIGHWAY, ACADEMIC CENTER, 1ST FLOOR, JEFFERSON, LA 70121
(504) 842-3260
(504) 842-3193
Mailing address
2215 40TH ST NW APT 2, WASHINGTON, DC 20007-1731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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