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Individual

MS. JAIME L WESSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
809 COLLEGE ST, SHREVEPORT, LA 71104-2113
(318) 828-2693
Mailing address
902 RATCLIFF ST, SHREVEPORT, LA 71104-4812
(318) 834-4857

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
308038
LA

Other

Enumeration date
02/05/2018
Last updated
01/27/2020
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