LEATHRICE JACK
Contractor - Home Modifications
Active
Individual
NPI: 1649606989
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor - Home Modifications | 171WH0202X | Yes | 555855 (LA) |
Frequently Asked Questions
NPI 1649606989 is the National Provider Identifier for LEATHRICE JACK, a Contractor - Home Modifications provider located in Ville Platte, LA. This NPI was enumerated on September 18, 2013.
LEATHRICE JACK practices at 709 EAST JEFFERSON ST, Ville Platte, LA 70586.
Quick Facts
- NPI
- 1649606989
- Type
- Individual
- Enumerated
- Sep 18, 2013
- Last Updated
- Sep 18, 2013
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