Individual
JAKE A LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1613 E MAIN ST STE B, NEW IBERIA, LA 70560-4017
(337) 608-8162
Mailing address
1613 E MAIN ST STE B, NEW IBERIA, LA 70560-4017
(337) 608-8162
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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