CHARLES DAI-TRIEU CAO

SHREVEPORT, LA
NPI1144646175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy226300000X Kinesiotherapist
(Licence: IL  1817)
Enumeration Date2014-03-14
Last Update Date2014-03-14
Business Address
Mr. CHARLES DAI-TRIEU CAO RKT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mr. CHARLES DAI-TRIEU CAO RKT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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