Individual
JEFFERY WAYNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1760 TEXAS ST, NATCHITOCHES, LA 71457-3429
(318) 238-8801
(318) 238-8801
Mailing address
229 WOODLAND SPRINGS RD, GRAMBLING, LA 71245-2452
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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