Individual
JERICKA BALKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6662
Mailing address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6662
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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