JARED R WHITEHEAD

LAKE CHARLES, LA
NPI1528356367
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  AP06501)
Enumeration Date2011-07-14
Last Update Date2017-04-13
Business Address
-- JARED R WHITEHEAD A.P.R.N.
1727 IMPERIAL BLVD BLDG 2
LAKE CHARLES, LA 70605-5362
Phone number: 337-310-3670
Mailing Address
-- JARED R WHITEHEAD A.P.R.N.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8258
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