JOHNATHAN THERON LARROQUETTE

LAFAYETTE, LA
NPI1073060125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  234407)
Enumeration Date2016-09-07
Last Update Date2024-03-26
Business Address
Mr. JOHNATHAN THERON LARROQUETTE PMHNP
202 GENERAL GARDNER AVE
LAFAYETTE, LA 70501-7824
Phone number: 337-232-9457
Mailing Address
Mr. JOHNATHAN THERON LARROQUETTE PMHNP
9 CHESAPEAKE PLZ
CHESAPEAKE, OH 45619-1003
Phone number:
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