OTIS JONES

GRAMBLING, LA
NPI1215482062
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
Mr. OTIS JONES
318 STADIUM DR
GRAMBLING, LA 71245-3222
Phone number: 318-573-2152
Mailing Address
Mr. OTIS JONES
318 STADIUM DR
GRAMBLING, LA 71245-3222
Phone number: 318-573-2152