person
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. You can also correspond with Aswad Lemar Jackson through the mailing address at 420 AVENUE F, BOGALUSA, LA - 70427-3634 (mailing address contact number: 985-730-6368).

Location: 420 Avenue F, Bogalusa, LA, 70427-3634
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
State
Zip
70427-3634
Phone Number
985-730-6368
Fax Number
person
Provider Business Mailing Address Details
Address
420 Avenue F
City
State
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
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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