Search › Louisiana › 172V00000X
Jesse Mamon
NPI 1053761304 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2929 Highway 33
Ruston, LA 71270 - Phone
- (318) 251-9904
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2016-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana