SearchLouisiana172A00000X

Jasmine Elaire

NPI 1114511334 · on the registry since 2021

Practice

Address
346 Huval St
Lafayette, LA 70501
Phone
(337) 212-4538
Organisation at this address
Amazing Grace Van Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-28

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