Individual
JILL MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 654-8427
Mailing address
416 CANKTON RD, CARENCRO, LA 70520-5827
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
LA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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