Individual
CATHERINE MARIE COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
(504) 899-2800
Mailing address
209 SIDNEY ST, METAIRIE, LA 70005-3543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
306545
LA
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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