THOMAS ABRAHAM JAKOB JEIDER

BATON ROUGE, LA
NPI1588981955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  205045)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-04-26
Last Update Date2013-10-11
Business Address
-- THOMAS ABRAHAM JAKOB JEIDER
5825 AIRLINE HWY
BATON ROUGE, LA 70805-2408
Phone number: 225-358-3940
Mailing Address
-- THOMAS ABRAHAM JAKOB JEIDER
23738 CASTILLA CT
VALENCIA, CA 91355-2219
Phone number: 661-312-2157