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Individual

MRS. KAYLII MELANCON JEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, CNOR, RNFA

Contact information

Practice address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 766-2166
(225) 766-2164
Mailing address
14321 VENTRESS RD, VENTRESS, LA 70783-4005
(225) 978-3754

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN103777
LA

Other

Enumeration date
01/01/2011
Last updated
01/01/2011
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