DANIEL TUBONGBANUA

SHREVEPORT, LA
NPI1073259396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1082147)
Enumeration Date2022-05-10
Last Update Date2024-05-17
Business Address
DANIEL TUBONGBANUA PT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
DANIEL TUBONGBANUA PT
1691 BIENVILLE DR
MONROE, LA 71201-3756
Phone number: 318-998-7805
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