Individual
MR. JORGE JESAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1170 MEADOWBROOK BLVD, MANDEVILLE, LA 70471-7400
(985) 626-3641
(985) 626-3792
Mailing address
1170 MEADOWBROOK BLVD, MANDEVILLE, LA 70471-7400
(985) 626-3641
(985) 626-3792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA10230
LA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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