MELISSA FETT JORDAN

SHREVEPORT, LA
NPI1033554738
Former NameMELISSA DIANNE FETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: LA  390200000)
Enumeration Date2013-05-08
Last Update Date2013-05-08
Business Address
-- MELISSA FETT JORDAN
3100 FAIRFIELD AVE UNIT 10A
SHREVEPORT, LA 71104-4152
Phone number: 318-201-3939
Mailing Address
-- MELISSA FETT JORDAN
3100 FAIRFIELD AVE UNIT 10A
SHREVEPORT, LA 71104-4152
Phone number: 318-201-3939
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