JESSE MAMON
Community Health Worker
Active
Individual
NPI: 1053761304
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1053761304 is the National Provider Identifier for JESSE MAMON, a Community Health Worker provider located in Ruston, LA. This NPI was enumerated on June 17, 2016.
JESSE MAMON practices at 2929 HIGHWAY 33, Ruston, LA 71270.
Quick Facts
- NPI
- 1053761304
- Type
- Individual
- Enumerated
- Jun 17, 2016
- Last Updated
- Jun 17, 2016
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