CRYSTAL WHITE JEANSONNE

LAFAYETTE, LA
NPI1124489372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP08664)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- CRYSTAL WHITE JEANSONNE FNP
1105 KALISTE SALOOM RD
LAFAYETTE, LA 70508-5705
Phone number: 337-470-1058
Mailing Address
-- CRYSTAL WHITE JEANSONNE FNP
1105 KALISTE SALOOM ROAD
LAFAYETTE, LA 70508
Phone number: 337-470-1058
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