Individual
JASMINE NICOLE ELAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 HUVAL ST, LAFAYETTE, LA 70501-4114
(337) 212-4538
Mailing address
346 HUVAL ST, LAFAYETTE, LA 70501-4114
(337) 212-4538
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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