Individual
LAJERRICA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13193 FOWLER DR, DENHAM SPRINGS, LA 70706-0593
(225) 281-6213
Mailing address
13193 FOWLER DR, DENHAM SPRINGS, LA 70706-0593
(225) 281-6213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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