DEREK MITCHELL JAMBON

COVINGTON, LA
NPI1093217457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A09506)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
DEREK MITCHELL JAMBON
330 FALCONER DR STE D
COVINGTON, LA 70433-8211
Phone number: 985-900-2305
Mailing Address
DEREK MITCHELL JAMBON
330 FALCONER DR STE D
COVINGTON, LA 70433-8211
Phone number: 985-900-2305
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