Organization
J & A LEGROS ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY LEGROS (OWNER)
(337) 684-0911
Entity
Organization
Contact information
Practice address
731 S MAIN ST, SUITE A, CHURCH POINT, LA 70525-4109
(337) 684-0911
(337) 684-0912
Mailing address
731 S MAIN ST, SUITE A, CHURCH POINT, LA 70525-4109
(337) 684-0911
(337) 684-0912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03265
LA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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