Individual
JULIE DEJEAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCES
Contact information
Practice address
1004 NORTHCROSS LN, OPELOUSAS, LA 70570-8150
(337) 942-5179
Mailing address
1004 NORTHCROSS LN, OPELOUSAS, LA 70570-8150
(337) 942-5179
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
CEP.CE0107
LA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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