Individual
MRS. NATHALIE BOFFY JUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(225) 202-5090
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200218
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347019
—
LA
Enumeration date
10/09/2008
Last updated
02/14/2014
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