TRACIE PENDARVIS

BOSSIER CITY, LA
NPI1215200191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-02-22
Last Update Date2012-02-22
Business Address
-- TRACIE PENDARVIS
5604 PAMPUS LN
BOSSIER CITY, LA 71112-4951
Phone number: 318-458-1834
Mailing Address
-- TRACIE PENDARVIS
5604 PAMPUS LN
BOSSIER CITY, LA 71112-4951
Phone number: 318-458-1834
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