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Individual

JANELLE BOYDSTUN TRICHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1039 JENNIFERS PL, PINEVILLE, LA 71360-2750
(318) 290-9188
Mailing address
1039 JENNIFERS PL, PINEVILLE, LA 71360-2750
(318) 290-9188

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99499
SAMARITAN MINISTRIES
LA
05
99499
LA
Enumeration date
09/25/2019
Last updated
09/25/2019
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