Individual
KENTRELL JAMON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 5TH ST, FRANKLIN, LA 70538-5602
(337) 380-1089
Mailing address
620 5TH ST, FRANKLIN, LA 70538-5602
(337) 380-1089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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