Individual
JULIANNE MESTAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SPRING VIEW DR, YOUNGSVILLE, LA 70592-5778
(337) 534-1408
Mailing address
113 SPRING VIEW DR, YOUNGSVILLE, LA 70592-5778
(337) 534-1408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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