Individual
JARED ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
723 ATHANIA PKWY, METAIRIE, LA 70001-4005
(985) 703-1256
Mailing address
8166 MAIN ST, HOUMA, LA 70360-3404
(985) 703-1256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
301694
LA
Other
Enumeration date
03/31/2014
Last updated
06/24/2019
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