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Individual

MR. MATTHEW JOSEPH PITALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12 VOISON DR, DESTREHAN, LA 70047-2112
(504) 250-4276
Mailing address
12 VOISON DR, DESTREHAN, LA 70047-2112
(504) 250-4276

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/20/2012
Last updated
06/20/2012
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