THE TRIDENT PACIFIC CORPORATION

SHREVEPORT, LA
NPI1225226194
Entity TypeOrganization
Authorized ContactGLENDA MORENO
Office Manager
318-212-3740
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
THE TRIDENT PACIFIC CORPORATION
8001 YOUREE DR STE 550
SHREVEPORT, LA 71115-2325
Phone number: 318-212-3740
Mailing Address
THE TRIDENT PACIFIC CORPORATION
PO BOX 5455
SHREVEPORT, LA 71135-5455
Phone number: 318-212-3740
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