Individual
MISS SONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12087 OLD HAMMOND HWY STE C, BATON ROUGE, LA 70816-8776
(225) 475-3463
Mailing address
11038 BIG BEND AVE, BATON ROUGE, LA 70814-5205
(225) 449-0740
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
LA
Other
Enumeration date
09/15/2011
Last updated
11/04/2025
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