Individual
RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
399 E 6TH ST, EDGARD, LA 70049-2331
(985) 294-1148
Mailing address
399 E 6TH ST, EDGARD, LA 70049-2331
(985) 294-1148
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
12/29/2018
Last updated
12/29/2018
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