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La Red Health Center

Family Medicine in Georgetown, DE. Organization (NPI-2).

NPI number1184012007
StatusActive
Last updated in NPPESDec 30, 2014

Details

NPI
1184012007
Entity type
Organization (NPI-2)
Legal business name
La Red Health Center
Organization subpart
No
Enumeration date
Dec 30, 2014
Last updated
Dec 30, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineL2-0012389DEYes

Practice location

21444 Carmean Way
Georgetown, DE 19947-4572

Phone 302-855-1233

Mailing address

21444 Carmean Way
Georgetown, DE 19947-4572

Authorized official

Roberta A. Jean-Louis
Nurse
3028551233

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