Most Relevant Information
Provider Data
| NPI Number: | 1003639618 |
| Provider Name: | ZERNIKE MAXIE |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2024 |
| Last Updated: | 11/02/2024 |
Provider Practice Location
805 CYPREMORT ST
JEANERETTE
LA
705445703
Practice Location Phone/Fax
| Phone: | 3378524671 |
| Fax: |
Provider Mailing Location
805 CYPREMORT ST
JEANERETTE
LA
705445703
Provider Mailing Phone/Fax
| Phone: | 3378524671 |
| Fax: |