JEFFREY TANITA

OLLA, LA
NPI1922040443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  200484)
Enumeration Date2006-06-11
Last Update Date2014-09-22
Business Address
-- JEFFREY TANITA M.D.
1136A N PINE RD
OLLA, LA 71465-4804
Phone number: 318-495-3880
Mailing Address
-- JEFFREY TANITA M.D.
1136A N PINE RD
OLLA, LA 71465-4804
Phone number: 318-495-3880
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