Louisiana
Board of Licensing
DETIVEAUX JENNIFER B
Medical
License number
CLP.G02000-GEN
Date expires
12/31/2014
Class
Medical
Status
Active
Address
Ochsner Foundation Clinic, 1516 Jefferson Hwy, New Orleans, LA 70121
louisianalicensing.com
ID 21796658
LAST UPDATED 2024-04-20 13:22:16 UTC
LAST UPDATED 2024-04-20 13:22:16 UTC