JADE DRAGON RED PHOENIX, LLC

WEST MONROE, LA
NPI1184029662
Entity TypeOrganization
Authorized ContactKATHLEEN ANN MILAZZO
Co Owner
318-521-0701
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: LA  AcA.200053)
Enumeration Date2014-10-27
Last Update Date2014-10-27
Business Address
JADE DRAGON RED PHOENIX, LLC
2106 N 7TH ST #132
WEST MONROE, LA 71291-4445
Phone number: 318-521-0701
Mailing Address
JADE DRAGON RED PHOENIX, LLC
158 DOWNS RD
RUSTON, LA 71270-6984
Phone number: 318-521-0701