ANDREW IRVINE

SHREVEPORT, LA
NPI1013586700
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-18
Last Update Date2021-06-18
Business Address
ANDREW IRVINE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
ANDREW IRVINE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434