Individual
CAROLINE TRACY MIRE JODON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 SYLVIA LOOP, SCOTT, LA 70583-4022
(832) 331-0220
Mailing address
303 SYLVIA LOOP, SCOTT, LA 70583-4022
(832) 331-0220
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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