Individual
MR. JODE BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 N 4TH ST, BATON ROUGE, LA 70802-5342
(225) 342-2094
Mailing address
628 N 4TH ST, BATON ROUGE, LA 70802-5342
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
1744R1102X
Research Study Specialist
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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