JAKE THOMAS HOLLEN

LAKE CHARLES, LA
NPI1457390858
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: LA  013982)
Enumeration Date2006-06-04
Last Update Date2010-08-18
Business Address
-- JAKE THOMAS HOLLEN M.D.
4311 SUFFOLK ST
LAKE CHARLES, LA 70605-3936
Phone number: 337-477-9383
Mailing Address
-- JAKE THOMAS HOLLEN M.D.
4311 SUFFOLK ST
LAKE CHARLES, LA 70605-3936
Phone number: 337-477-9383
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