PHYLLIS ST AMANT JACKSON
Contractor
Active
Individual
NPI: 1104283340
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1104283340 is the National Provider Identifier for PHYLLIS ST AMANT JACKSON, a Contractor provider located in Baton Rouge, LA. This NPI was enumerated on January 19, 2016.
PHYLLIS ST AMANT JACKSON practices at 13317 SOUTH CHOCTAW DRIVE, SUITE C3, Baton Rouge, LA 70815.
Quick Facts
- NPI
- 1104283340
- Type
- Individual
- Enumerated
- Jan 19, 2016
- Last Updated
- Jan 19, 2016
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