Individual
EMMETT JEFFERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 S JUNE DR, LAFAYETTE, LA 70501-1114
(318) 613-4524
Mailing address
130 S JUNE DR, LAFAYETTE, LA 70501-1114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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