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Individual

MRS. YVETTE BROWN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3520 GENERAL DEGAULLE DR, SUITE 3023, NEW ORLEANS, LA 70114-6757
(504) 362-4663
(504) 362-4676
Mailing address
3520 GENERAL DEGAULLE DR, SUITE 3023, NEW ORLEANS, LA 70114-6757
(504) 362-4663
(504) 362-4676

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
5076
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1190012
LA
05
1651940
LA
05
1651958
LA
Enumeration date
03/22/2007
Last updated
07/09/2007
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