Individual
TAMARA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 E JUDGE PEREZ DR, VIOLET, LA 70092-4000
(504) 382-3699
Mailing address
4908 E JUDGE PEREZ DR, VIOLET, LA 70092-4000
(504) 382-3699
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
006983123
LA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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