Individual
JIMMA TEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 ALEXANDRIA HWY, LEESVILLE, LA 71446-2146
(337) 404-7731
Mailing address
282 ALEXANDRIA HWY, LEESVILLE, LA 71446-2146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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