JACQUANA ALFRED

LAKE CHARLES, LA
NPI1154871606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-10-08
Last Update Date2016-10-08
Business Address
-- JACQUANA ALFRED
241 W SALLIER ST
LAKE CHARLES, LA 70601-5892
Phone number: 337-602-6663
Mailing Address
-- JACQUANA ALFRED
241 W SALLIER ST
LAKE CHARLES, LA 70601-5892
Phone number: