Individual
JEREMY ROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 REINHARDT DR, LAFAYETTE, LA 70506-4251
(337) 482-5402
Mailing address
365 SYCAMORE ST, RACELAND, LA 70394-2795
(985) 860-2670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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