Individual
JACQUELYN SUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
(337) 893-1874
Mailing address
220 S JEFFERSON ST, ABBEVILLE, LA 70510-5906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
880319
LA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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