JADE PARK

ALEXANDRIA, LA
NPI1053988741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01093877A)
Enumeration Date2021-06-09
Last Update Date2024-09-12
Business Address
JADE PARK
301 4TH ST
ALEXANDRIA, LA 71301-8411
Phone number: 318-441-1041
Mailing Address
JADE PARK
301 4TH ST
ALEXANDRIA, LA 71301-8411
Phone number:
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