Individual
MR. JASON ISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4332 RHODA DR, BATON ROUGE, LA 70816-4136
(225) 341-6398
Mailing address
4332 RHODA DR, BATON ROUGE, LA 70816-4136
(225) 341-6398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184997
—
LA
Enumeration date
09/08/2016
Last updated
09/08/2016
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