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Aswad Lemar Jackson
Student in an Organized Health Care Education/Training Program in Bogalusa, Louisiana
NPI 1861142424

Aswad Lemar Jackson is a Student in an Organized Health Care Education/Training Program based in Bogalusa, LA. Aswad Lemar Jackson practices in Bogalusa, LA. The NPI Number for Aswad Lemar Jackson is 1861142424 and holds a License No. (Louisiana).

The current practice location address for Aswad Lemar Jackson is 420 Avenue F, Bogalusa, LA and can be reached out via phone at 985-730-6368.

Location: 420 Avenue F, Bogalusa, LA, 70427-3634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861142424
Provider Name
Aswad Lemar Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 Avenue F, Bogalusa, LA, 70427-3634
Phone Number
985-730-6368
Fax Number
Provider Enumeration Date
03/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 Avenue F
City
Bogalusa
State
Louisiana
Zip
70427-3634
Phone Number
985-730-6368
Fax Number
person
Provider Business Mailing Address Details
Address
420 Avenue F
City
Bogalusa
State
Louisiana
Zip
70427-3634
Phone Number
985-730-6368
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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