JEREMY MARTIN

NATCHITOCHES, LA
NPI1326410143
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
-- JEREMY MARTIN
114 ROYAL ST.
NATCHITOCHES, LA 71457
Phone number: 318-527-6671
Mailing Address
-- JEREMY MARTIN
1717 MARSHALL ST
SHREVEPORT, LA 71101
Phone number: 318-527-6671
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