Individual
TAWANNA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8211 SUMMA AVE STE A, BATON ROUGE, LA 70809-3471
(225) 752-6262
(225) 756-6221
Mailing address
PO BOX 854, VIDALIA, LA 71373-0854
(225) 752-6262
(225) 756-6221
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2203782900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1416371
—
LA
05
—
1416461
—
LA
05
—
1420794
—
LA
05
—
BH0012212
—
LA
Enumeration date
09/13/2016
Last updated
03/27/2018
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