ANGIE JERRY

QUITMAN, LA
NPI1386402469
Former NameANGIE STEVENSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174N00000X Lactation Consultant, Non-RN
(Licence: LA  L-307666)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
ANGIE JERRY L-307666
346 BROWN RD
QUITMAN, LA 71268-4717
Phone number: 318-614-8331
Mailing Address
ANGIE JERRY L-307666
346 BROWN RD
QUITMAN, LA 71268-4717
Phone number: