NPI 1114359858

Varsha Castro Gusman

Practitioner Medical Physician Assistant Jefferson, LA

Practice location

Address: 1514 Jefferson Hwy, Jefferson, LA 70121-2429
Phone: (504) 975-8259

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

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Registry record

NPI: 1114359858
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2013
Record last updated: 19 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.