Individual
JENNIFER S VALLELUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 W 13TH AVE, COVINGTON, LA 70433-3308
(985) 871-0070
Mailing address
400 MEMPHIS ST, BOGALUSA, LA 70427-3862
(985) 807-4388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD.206911
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2010
Last updated
04/16/2025
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