ENRICO MASANGKAY ROQUE

SHREVEPORT, LA
NPI1386270155
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: LA  OTT.200779)
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
Mr. ENRICO MASANGKAY ROQUE OTR
103 PANTHEON LN
SHREVEPORT, LA 71115-4506
Phone number: 318-393-1057
Mailing Address
Mr. ENRICO MASANGKAY ROQUE OTR
103 PANTHEON LN
SHREVEPORT, LA 71115-4506
Phone number: 318-393-1057
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