Susan Jacks, R.PH

NPI 1346465861 · on the registry since 2007 · sole proprietor

Practice

Address: 222 Bell Ln Ste 5a
West Monroe, LA 71291
Phone: (318) 988-3018
Fax: (318) 988-3020
Organisation at this address: Mldp Of Texas Lp
New Way Recovery, Llc
Salt & Light Aesthetics Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-20

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