Individual
MRS. JENNIFER HILLARY SIRMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 CELIA DR, LULING, LA 70070-4004
(504) 710-6620
Mailing address
120 CELIA DR, LULING, LA 70070-4004
(504) 710-6620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06796
LA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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