DEANQUENETTE JOCKELIA MARDIS

FARMERVILLE, LA
NPI1285168724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy273Y00000X Rehabilitation Unit
Enumeration Date2017-04-11
Last Update Date2017-04-11
Business Address
-- DEANQUENETTE JOCKELIA MARDIS
1108 STERLINGTON HWY
FARMERVILLE, LA 71241-3812
Phone number: 318-368-9118
Mailing Address
-- DEANQUENETTE JOCKELIA MARDIS
1108 STERLINGTON HWY
FARMERVILLE, LA 71241-3812
Phone number: