Male or Other

Jerry Landry

Personal Care Attendant in Baton Rouge, LA(View on Map)

Full Name

Jerry Landry

NPI Number

1033963848

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/16/2024

Specialties

(Taxonomies)

Code

3747P1801X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5516 SUPERIOR DR STE A
5516 SUPERIOR DR STE A

City

Baton Rouge
Baton Rouge

State

LA
LA

Postal Code

70816-8022
70816-8022

Country

US
US

Telephone Number

N/A
(225) 246-2740

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/16/2024

Provider Address

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