DEMETRIAL HOUSTON

SHREVEPORT, LA
NPI1275197121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-04-25
Last Update Date2019-04-25
Business Address
DEMETRIAL HOUSTON
4571 N MARKET ST
SHREVEPORT, LA 71107-2917
Phone number: 318-424-8735
Mailing Address
DEMETRIAL HOUSTON
4571 N MARKET ST
SHREVEPORT, LA 71107-2917
Phone number: 318-424-8735
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