CHIJIOKE UDOLISA

LAKE CHARLES, LA
NPI1427253855
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: LA  6879829001)
Enumeration Date2007-06-16
Last Update Date2007-07-08
Business Address
-- CHIJIOKE UDOLISA
3519 PATRICK ST SUITE 262
LAKE CHARLES, LA 70605-1748
Phone number: 337-477-6500
Mailing Address
-- CHIJIOKE UDOLISA
3519 PATRICK ST SUITE 262
LAKE CHARLES, LA 70605-1748
Phone number: 337-477-6500
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