NPI 1629575782

Jeremie J Myles

Practitioner Driver Lake Charles, LA

Practice location

Address: 4417 Gordon Woods Dr, Lake Charles, LA 70615-2996
Phone: (337) 513-9022

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 006345477 (LA)

Other Driver providers in Louisiana →

Registry record

NPI: 1629575782
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2018
Record last updated: 6 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.