BRANDON RAINWATER

SHREVEPORT, LA
NPI1033766423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-21
Last Update Date2023-01-10
Business Address
BRANDON RAINWATER
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
Mailing Address
BRANDON RAINWATER
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
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