Individual
MS. JESSICA NATASHA ANTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 VIENX ORLEANS CIRCLE APT C, LAFAYETTE, CA 70508
(337) 443-3323
Mailing address
412 VIENX ORLEANS CIRCLE APT C, LAFAYETTE, CA 70508
(337) 443-3323
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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