Individual
BRYANNA IMMARI JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
Mailing address
415 COURT STREET, PORT ALLEN, LA 70767
(225) 245-9070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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