Individual
DEANDRE S. JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 W PINHOOK RD STE 107, LAFAYETTE, LA 70503-3100
(337) 232-9457
(337) 232-9459
Mailing address
505 10TH ST, BREAUX BRIDGE, LA 70517-3905
(310) 270-7749
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC10562
LA
Other
Enumeration date
12/16/2019
Last updated
02/21/2025
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