Most Relevant Information
Provider Data
| NPI Number: | 1003314345 |
| Provider Name: | TAMMBLA JONES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/31/2018 |
| Last Updated: | 01/31/2018 |
Provider Practice Location
2448 JOHNSTON ST STE B
LAFAYETTE
LA
705032756
Practice Location Phone/Fax
| Phone: | 3372337250 |
| Fax: |
Provider Mailing Location
2448 JOHNSTON ST STE B
LAFAYETTE
LA
705032756
Provider Mailing Phone/Fax
| Phone: | 3372337250 |
| Fax: |