Individual
JINEA RENEE CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 LOIRE AVE, LAFAYETTE, LA 70507-2477
(337) 298-7052
Mailing address
601 LOIRE AVE STE A, LAFAYETTE, LA 70507-2477
(337) 298-7052
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
L95222082199758903
LA
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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