Provider First Line Business Practice Location Address:
200 WEST ESPLANADE AVE, STE 205
Provider Second Line Business Practice Location Address:
LSUHN MULTISPECIALTY CLINIC/S. KABBOJ
Provider Business Practice Location Address City Name:
KENNER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-412-1705
Provider Business Practice Location Address Fax Number:
504-412-1726
Provider Enumeration Date:
07/24/2006