SearchLouisiana174N00000X

Angie Jerry, L-307666

NPI 1386402469 · on the registry since 2024 · sole proprietor

Practice

Address
346 Brown Rd
Quitman, LA 71268
Phone
(318) 614-8331

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-12

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