Individual provider · NPI-1

Jonathan Scott Edwards

Technician, Other · New Orleans, LA

NPI number1366553158
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1366553158
Entity type
Individual (NPI-1)
Name
Jonathan Scott Edwards
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

13800 Old Gentilly Rd
New Orleans, LA 70129-2218

Phone 504-556-8118

Mailing address

Po Box 7133
Belle Chasse, LA 70037-7133

Phone 504-556-8118

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Other Technician, Other providers in New Orleans, LA