Individual
JAMEYELLE C JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4544 W CENTRAL AVE, ZACHARY, LA 70791-3729
(225) 301-0081
Mailing address
6321 HONEY LOCUST BLVD, ZACHARY, LA 70791-2913
(225) 304-1829
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/22/2022
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