Individual
ATHAN JOSEPH JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1097 S FLANNERY RD, BATON ROUGE, LA 70815-6920
(504) 957-0001
Mailing address
14741 BRIGHTVIEW CT, BATON ROUGE, LA 70819-4012
(504) 957-0001
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
LA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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