JAVORIS ANTONIO HINTON

LAKE CHARLES, LA
NPI1417574070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-30
Last Update Date2020-06-30
Business Address
Mr. JAVORIS ANTONIO HINTON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
Mailing Address
Mr. JAVORIS ANTONIO HINTON
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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