Individual
JESSICA DAWN SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5349B TANKERSLEY CT # B, FORT JOHNSON, LA 71459-3670
(805) 501-4262
Mailing address
5349B TANKERSLEY CT # B, FORT JOHNSON, LA 71459-3670
(805) 501-4262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-292787
LA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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