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Individual

JAQUINTA M GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1110 E SAINT PETER ST, NEW IBERIA, LA 70560-3932
(337) 364-1166
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 565-2675
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
345099
LA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699049262
HULIN URGENT CARE SERVICES LLC
LA
Enumeration date
08/10/2024
Last updated
05/07/2026
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