JEREMY DEDEAUX

ZACHARY, LA
NPI1104233923
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP07961)
Enumeration Date2014-07-14
Last Update Date2022-12-06
Business Address
JEREMY DEDEAUX FNP-C
2335 CHURCH ST SUITE E
ZACHARY, LA 70791-2700
Phone number: 225-654-3607
Mailing Address
JEREMY DEDEAUX FNP-C
2335 MAIN STREET SUITE E
ZACHARY, LA 70791
Phone number: 225-654-3607