Provider First Line Business Practice Location Address:
1918 WILLIAMS BLVD
Provider Second Line Business Practice Location Address:
JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC
Provider Business Practice Location Address City Name:
KENNER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70062-6232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-471-4860
Provider Business Practice Location Address Fax Number:
504-471-4873
Provider Enumeration Date:
07/27/2009