Individual
JONTAY WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 N MORRISON BLVD STE 106, HAMMOND, LA 70401-2242
(985) 551-5155
(985) 551-5222
Mailing address
84658 CLARENCE RD, BOGALUSA, LA 70427-6404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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