person
John Roddenberry JR., DPM
Student in an Organized Health Care Education/Training Program in Metairie, Louisiana
NPI 1871279448

John Roddenberry JR. is a Student in an Organized Health Care Education/Training Program based in Metairie, LA. John Roddenberry JR. practices in Metairie, LA and has the professional credentials of DPM. The NPI Number for John Roddenberry JR. is 1871279448 and holds a License No. 337238 (Louisiana).

The current practice location address for John Roddenberry JR. is 4200 Houma Blvd, Metairie, LA and can be reached out via phone at 941-779-6299. You can also correspond with John Roddenberry JR. through the mailing address at 124 LABARRE DR APT B, METAIRIE, LA - 70001-5433 (mailing address contact number: ).

Location: 4200 Houma Blvd, Metairie, LA, 70001-5433
person
Provider Profile Details
NPI Number
1871279448
Provider Name
John Roddenberry JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4200 Houma Blvd, Metairie, LA, 70001-5433
Phone Number
941-779-6299
Fax Number
Provider Enumeration Date
06/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4200 Houma Blvd
City
State
Zip
70006-2970
Phone Number
941-779-6299
Fax Number
person
Provider Business Mailing Address Details
Address
4200 Houma Blvd
City
State
Zip
70006-2970
Phone Number
941-779-6299
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
337238 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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