Provider First Line Business Practice Location Address:
CHILDREN'S HOSPITAL
Provider Second Line Business Practice Location Address:
200 HENRY CLAY AVE, FLOOR 1
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-364-1100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2007