Individual
JUAN JOSE LABADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE 250-SOUTH, MARRERO, LA 70072-3151
(504) 349-6207
(504) 349-6272
Mailing address
1111 MEDICAL CENTER BLVD, SUITE 250-SOUTH, MARRERO, LA 70072-3151
(504) 349-6207
(504) 349-6272
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04376R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189308
—
LA
Enumeration date
05/19/2006
Last updated
05/15/2008
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