Individual provider · NPI-1

Jonathan Jacob Abraham

Student in an Organized Health Care Education/Training Program · New Orleans, LA

NPI number1013604560
StatusActive
Last updated in NPPESApr 24, 2023

Details

NPI
1013604560
Entity type
Individual (NPI-1)
Name
Jonathan Jacob Abraham
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2023
Certification date
Apr 24, 2023
Last updated
Apr 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1542 Tulane Ave
New Orleans, LA 70112-2865

Phone 504-568-4680 · Fax 504-568-4466

Mailing address

1542 Tulane Ave
New Orleans, LA 70112-2865

Phone 504-568-4680 · Fax 504-568-4466

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