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Individual

JILL Z CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, LOTR

Contact information

Practice address
9755 GOODWOOD BLVD, BATON ROUGE, LA 70815-4514
(225) 255-2638
(949) 404-6591
Mailing address
6271 BOONE AVE, BATON ROUGE, LA 70808-5009
(225) 354-5599

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006547510
LA

Other

Enumeration date
01/09/2008
Last updated
08/03/2023
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