Individual
JARRAD W FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3001 ARMAND ST STE F, MONROE, LA 71201-3761
(318) 340-6300
(318) 340-6323
Mailing address
2804 CUBA BLVD, MONROE, LA 71201-2014
(318) 343-3149
(318) 325-2022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06930
LA
Other
Enumeration date
05/25/2006
Last updated
06/03/2008
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