Individual
JESSE JERMAINE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
17915 GLEN PARK DR, BATON ROUGE, LA 70817-9582
(225) 275-3866
Mailing address
17915 GLEN PARK DR, BATON ROUGE, LA 70817-9582
(225) 275-3866
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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