Individual
JAZSMIN ROUNDTREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MLK DR APT 39, THIBODAUX, LA 70301-4889
(985) 413-8731
Mailing address
1400 MLK DR APT 39, THIBODAUX, LA 70301-4889
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
10/31/2018
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