Individual
JAYLIN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N 11TH ST, MONROE, LA 71201-5633
(318) 304-2448
Mailing address
1001 N 11TH ST, MONROE, LA 71201-5633
(318) 304-2248
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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