Individual
JACQUELYN DEDRAL NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 S COLLEGE RD STE 252, LAFAYETTE, LA 70503-3212
(337) 269-1169
(337) 235-1961
Mailing address
315 S COLLEGE RD STE 252, LAFAYETTE, LA 70503-3212
(337) 269-1169
(337) 235-1961
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
10/17/2023
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