JAY WALKER

PONCHATOULA, LA
NPI1093229031
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2017-11-29
Last Update Date2020-03-20
Business Address
JAY WALKER
41459 S RANGE RD APT 114
PONCHATOULA, LA 70454-3083
Phone number: 985-602-7484
Mailing Address
JAY WALKER
41459 S RANGE RD APT 114
PONCHATOULA, LA 70454-3083
Phone number: 985-602-7484
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