Organization
JAUBERT PROSTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE BENITEZ, JR (PRESIDENT)
(337) 437-6134
Entity
Organization
Contact information
Practice address
1625 RYAN ST STE C, LAKE CHARLES, LA 70601-5965
(337) 437-6134
(337) 437-6135
Mailing address
1625 RYAN ST STE C, LAKE CHARLES, LA 70601-5965
(337) 437-6134
(337) 437-6135
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
04/10/2019
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