EBONY JADE LASALLE

LAFAYETTE, LA
NPI1700412194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
EBONY JADE LASALLE
515 S COLLEGE RD STE 100
LAFAYETTE, LA 70503-3346
Phone number: 337-269-1165
Mailing Address
EBONY JADE LASALLE
515 S COLLEGE RD STE 100
LAFAYETTE, LA 70503-3346
Phone number: 337-269-1165