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Individual

JADDA NICOLE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 FLORENCE ST, JEANERETTE, LA 70544-3618
(337) 579-1764
Mailing address
211 FLORENCE ST, JEANERETTE, LA 70544-3618
(337) 579-1764

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/29/2020
Last updated
02/29/2020
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