ETHAN HORNE

SHREVEPORT, LA
NPI1285200618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20190021)
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
ETHAN HORNE LPN
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
Mailing Address
ETHAN HORNE LPN
5301 MEADOWSWEET CIR
BOSSIER CITY, LA 71112-8645
Phone number: 318-230-2270
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