Louisiana
Board of Licensing
Mendoza Jaime A.
Medical
License number
OTT.Z12097
Date expires
10/31/2015
Class
Medical
Status
Active
Address
2727 Kaliste Saloom Rd. Ste 101, Lafayette, LA 70508
louisianalicensing.com
ID 21995697
LAST UPDATED 2024-02-23 17:00:13 UTC
LAST UPDATED 2024-02-23 17:00:13 UTC