JACKSON STREET PEDIATRICS, LLC

ALEXANDRIA, LA
NPI1205454774
Entity TypeOrganization
Authorized ContactKAI A WICKER-BROWN
Owner
313-300-3637
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2020-07-10
Last Update Date2020-07-10
Business Address
JACKSON STREET PEDIATRICS, LLC
5716 JACKSON ST
ALEXANDRIA, LA 71303-2042
Phone number: 318-767-6503
Mailing Address
JACKSON STREET PEDIATRICS, LLC
6326 WINDY OAKS
ALEXANDRIA, LA 71301-2966
Phone number: 313-300-3637
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