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Individual

JASON HENRY PUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 WOMANS WAY STE SSB3, BATON ROUGE, LA 70817-5100
(225) 928-2555
Mailing address
3001 PALM VISTA DR, KENNER, LA 70065-1560
(504) 473-2095

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
221059
LA

Other

Enumeration date
07/08/2021
Last updated
07/08/2021
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