DERRICK PARKER

SHREVEPORT, LA
NPI1164965315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-11-21
Last Update Date2018-05-23
Business Address
DERRICK PARKER
4019 GREENWOOD RD
SHREVEPORT, LA 71109
Phone number: 318-626-5462
Mailing Address
DERRICK PARKER
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462