Provider First Line Business Practice Location Address:
JEFFERSON PARISH SCHOOL
Provider Second Line Business Practice Location Address:
822 S. CLEARVIEW PARKWAY
Provider Business Practice Location Address City Name:
HARHAN
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-457-5129
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2021