Individual
JENNIFER CROCHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14212 CALICE ST, GONZALES, LA 70737-5971
(225) 892-1591
Mailing address
14212 CALICE ST, GONZALES, LA 70737-5971
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1170127749
LA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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