Individual
JEAN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 OCEAN DR APT 3D, BATON ROUGE, LA 70806-4652
(225) 573-2283
Mailing address
190 OCEAN DR APT 3D, BATON ROUGE, LA 70806-4652
(225) 573-2283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
01/05/2017
Last updated
01/05/2017
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