Individual
JACQUELINE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 PEGUES ST, MANSFIELD, LA 71052-2517
(318) 658-4416
Mailing address
1002 PEGUES ST, MANSFIELD, LA 71052-2517
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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