Individual
DR. JENAYE MARIE DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 SAINT MARY ST, THIBODAUX, LA 70301-2641
(985) 447-2393
(985) 262-7095
Mailing address
425 SAINT MARY ST, THIBODAUX, LA 70301-2641
(985) 447-2393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1879-814AT
LA
Other
Enumeration date
08/06/2018
Last updated
09/25/2023
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