Mieshan Madison

NPI #1639536469 in Marrero, Louisiana

Provider Information

NPI Number
1639536469
Entity Type
Individual
Name
Mieshan Madison
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 25, 2016
Last Updated
Jan 25, 2016

Practice Location

Address
4700 WICHERS DR STE 2-5
ZIP Code
70072-3041
Phone
(504) 407-0709

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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