JESSICA LUGO

SHREVEPORT, LA
NPI1164181806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251T00000X PACE Provider Organization
Additional Taxonomies253Z00000X In Home Supportive Care
Enumeration Date2021-12-09
Last Update Date2021-12-09
Business Address
JESSICA LUGO
6201 BERT KOUNS INDUSTRIAL LOOP LOT 645
SHREVEPORT, LA 71129-5046
Phone number: 318-401-8618
Mailing Address
JESSICA LUGO
6201 BERT KOUNS INDUSTRIAL LOOP LOT 645
SHREVEPORT, LA 71129-5046
Phone number: 318-401-8618
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