IndividualActive
Ja'Juan Allen
NPI 1891239604 · Home Modifications Contractor · Ponchatoula, LA
Provider details
- NPI number
- 1891239604
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 558499 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
42573 Pleasant Ridge Road Ext
Ponchatoula, LA 70454-4764
Phone: (318) 415-8872
Approximate (ZIP-level) locationGet directions
Mailing address
137 Penn Mill Lakes Blvd
Covington, LA 70435-0574
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2016-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.