KORI FOGG JUBAN

WALKER, LA
NPI1346761301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  AP09218)
Enumeration Date2017-06-29
Last Update Date2021-03-30
Business Address
KORI FOGG JUBAN
5000 ODONAVAN BLVD STE 404
WALKER, LA 70785-6355
Phone number: 225-369-8100
Mailing Address
KORI FOGG JUBAN
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-765-5727