Individual
JEVIN AHMAD ROSENDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10830 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-5014
(225) 444-5125
Mailing address
10830 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-5014
(225) 444-5125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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