Individual
JAMAR PETER CHRETIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7932 SUMMA AVE STE B2, BATON ROUGE, LA 70809-3736
(225) 349-7170
Mailing address
5633 EMERALD DR, LAKE CHARLES, LA 70615-4224
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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