Individual
JOLIE RELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(985) 397-3879
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200642
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356810
—
LA
Enumeration date
11/22/2013
Last updated
05/08/2023
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