Individual
JACORY PERRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 ST.JOHN ST., LAFAYETTE, LA 70501
(337) 292-0417
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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