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Christian A. Mayorga, Md Llc
Primary Care Clinic/Center in Kenner, Louisiana
NPI 1205160181

Christian A. Mayorga, Md Llc is a Primary Care Clinic/Center based in Kenner, LA and is specialized in Primary Care. Christian A. Mayorga, Md Llc practices in Kenner, LA. The NPI Number for Christian A. Mayorga, Md Llc is 1205160181 and holds a License No. 11181R (Louisiana).

The current practice location address for Christian A. Mayorga, Md Llc is 4228 Williams Blvd, Kenner, LA and can be reached out via phone at 504-305-0063.

Location: 4228 Williams Blvd, Kenner, LA, 70065-2270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205160181
Provider Name
Christian A. Mayorga, Md Llc
Credential
Provider Entity Type
Organization
Address
4228 Williams Blvd, Kenner, LA, 70065-2270
Phone Number
504-305-0063
Fax Number
Provider Enumeration Date
09/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1662101 05 LA
institution
Provider Business Practice Location Address Details
Address
4228 Williams Blvd
City
Kenner
State
Louisiana
Zip
70065-2270
Phone Number
504-305-0063
Fax Number
person
Provider Business Mailing Address Details
Address
4228 Williams Blvd
City
Kenner
State
Louisiana
Zip
70065-2270
Phone Number
504-305-0063
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
11181R (Louisiana)
Definition
Definition to come...
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