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Individual

MR. JEREMY FREEMAN SCHNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST/CSFA

Contact information

Practice address
418 GREGOIE LANE, PONCHATOULA, LA 70454
(985) 687-6288
Mailing address
PO BOX 214, PONCHATOULA, LA 70454-0214
(985) 687-6288

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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