MARY JACK

BATON ROUGE, LA
NPI1023774999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
MARY JACK
550 LEE DR APT 225
BATON ROUGE, LA 70808-4913
Phone number: 225-718-5305
Mailing Address
MARY JACK
550 LEE DR APT 225
BATON ROUGE, LA 70808-4913
Phone number:
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