CHARLESTON WEST

JEFFERSON, LA
NPI1205578879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
-- CHARLESTON WEST
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
Mailing Address
-- CHARLESTON WEST
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number:
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