Individual
BEN JEANSONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 MOSS LN, MANDEVILLE, LA 70471-2920
(985) 951-2155
Mailing address
380 MOSS LN, MANDEVILLE, LA 70471-2920
(985) 951-2155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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