Provider First Line Business Practice Location Address:
2021 PERDIDO ST.
Provider Second Line Business Practice Location Address:
STE. 413, DEPARTMENT OF OF MEDICINE(NEPHROLOGY AND INFE
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-568-8655
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/11/2026