Individual
JOCK ARDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8211 SUMMA AVE, BATON ROUGE, LA 70809-3471
(225) 761-1970
Mailing address
12533 COURSEY BLVD, BATON ROUGE, LA 70816-4570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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