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Individual

JERRICA WATSON KITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7301 HENNESSY BLVD STE 200, BATON ROUGE, LA 70808-4794
(225) 766-0050
Mailing address
10310 THE GROVE BLVD., BATON ROUGE, LA 70836
(225) 761-5200
(225) 761-5702

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310260
LA

Other

Enumeration date
08/17/2018
Last updated
01/31/2022
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