Individual
DANIELA MARIA LEON JARRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 703-6373
(337) 703-6374
Mailing address
461 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 703-6373
(251) 471-7468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
325016
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2017
Last updated
01/27/2021
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