Individual
JALEESA CHANTELL CARPRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 FORSYTHE BYP STE 114, MONROE, LA 71201-2168
(318) 450-8828
Mailing address
3157 GENTILLY BLVD STE 2035, NEW ORLEANS, LA 70122-3872
(888) 884-6520
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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