DANIEL TUBONGBANUA

MONROE, LA
NPI1073259396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: TX  1082147)
Enumeration Date2022-05-10
Last Update Date2022-05-10
Business Address
DANIEL TUBONGBANUA PT
1691 BIENVILLE DR
MONROE, LA 71201-3756
Phone number: 318-343-6100
Mailing Address
DANIEL TUBONGBANUA PT
1691 BIENVILLE DR
MONROE, LA 71201-3756
Phone number: 318-998-7805