Individual
MRS. LAVONDA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3022 OLD MINDEN ROAD, BOSSIER CITY, LA 71111
(318) 741-7314
Mailing address
3022 OLD MINDEN ROAD, BOSSIER CITY, LA 71111
(318) 741-7314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN110393
LA
Other
Enumeration date
10/18/2013
Last updated
10/18/2013
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