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Individual

ANTOILLA JEAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
805 MORRIS CHARLES ST, JEANERETTE, LA 70544-5515
(337) 428-0882
Mailing address
805 MORRIS CHARLES ST, JEANERETTE, LA 70544-5515
(337) 428-0882

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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