Individual
MR. JADERRIUS BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N 21ST ST, MONROE, LA 71201-6532
(318) 450-4911
(318) 855-4396
Mailing address
500 N 21ST ST, MONROE, LA 71201-6532
(318) 450-4911
(318) 855-4396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
01/24/2020
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