Individual
JESSICA ELAINA MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 GOVERNMENT ST, BUILDING 1, BATON ROUGE, LA 70806-5922
(225) 922-0445
(225) 922-2658
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5356
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/30/2014
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