Individual
DONALD CITIZEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W WOOD ST, JENNINGS, LA 70546-6449
(337) 368-5610
Mailing address
203 W WOOD ST, JENNINGS, LA 70546-6449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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