Individual
JESSICA EVANS PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3683 S FIRST ST, JENA, LA 71342-6409
(318) 992-9238
Mailing address
3683 S FIRST ST, JENA, LA 71342-6409
(318) 992-2263
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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