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Organization

THE JACKSON GROUP, LLC

Active
Other names
Laughter in Your Belly Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
ROLANDA GAYLE YOUNG JD, NMP, QRA (OWNER)
(225) 421-6772
Entity
Organization

Contact information

Practice address
3608 PRESIDENT DAVIS DR, BATON ROUGE, LA 70816-2947
(225) 421-6772
(225) 308-8909
Mailing address
3608 PRESIDENT DAVIS DR, BATON ROUGE, LA 70816-2947
(225) 421-6772
(225) 308-8909

Taxonomy

Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary

Other

Enumeration date
08/10/2017
Last updated
08/10/2017
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