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Organization

PLAQUEMINE MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA M JACKSON (CEO)
(225) 385-4617
Entity
Organization

Contact information

Practice address
23620 EDEN ST, PLAQUEMINE, LA 70764-2739
(225) 385-4617
(225) 385-4646
Mailing address
23620 EDEN ST, PLAQUEMINE, LA 70764-2739
(225) 385-4617
(225) 385-4646

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/14/2009
Last updated
12/14/2009
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