JEMARTRIUS MAYWEATHER

MANSFIELD, LA
NPI1205379328
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-21
Last Update Date2016-11-21
Business Address
Mr. JEMARTRIUS MAYWEATHER
2179 S WASHINGTON ST
MANSFIELD, LA 71052-4241
Phone number: 318-461-1198
Mailing Address
Mr. JEMARTRIUS MAYWEATHER
PO BOX 388
MANSFIELD, LA 71052-0388
Phone number: