Provider First Line Business Practice Location Address:
1101 MEDICAL CENTER BLVD.
Provider Second Line Business Practice Location Address:
ER
Provider Business Practice Location Address City Name:
MARRERO
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70072-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-349-1533
Provider Business Practice Location Address Fax Number:
504-349-1530
Provider Enumeration Date:
11/17/2010