Individual
MRS. STACY LEAH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 EMERALD AVE, TERRYTOWN, LA 70056-2922
(504) 493-5516
Mailing address
645 EMERALD AVE, TERRYTOWN, LA 70056-2922
(504) 493-5516
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
100267903
LA
156F00000X
Technician/Technologist
Primary
—
LA
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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