DEJAE ANTRELL BROOMFIELD

HOUMA, LA
NPI1407481393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-03-11
Last Update Date2020-03-11
Business Address
DEJAE ANTRELL BROOMFIELD
320 PROGRESSIVE BLVD
HOUMA, LA 70360-4069
Phone number: 985-303-6090
Mailing Address
DEJAE ANTRELL BROOMFIELD
320 PROGRESSIVE BLVD
HOUMA, LA 70360-4069
Phone number: 985-303-6090