Individual
MR. JERRY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
414 WEST COTTON STREET, VILLE PLATTE, LA 70586
(337) 363-3637
(337) 363-3667
Mailing address
101 E BEAUREGARD ST, VILLE PLATTE, LA 70586-3301
(337) 459-7164
(337) 363-3667
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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