BOMBINAMD LLC

SHREVEPORT, LA
NPI1427490937
Entity TypeOrganization
Authorized ContactSUYAH M LOUD-DOCKETT
Owner
318-946-8183
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  15815R)
Enumeration Date2013-07-25
Last Update Date2013-07-25
Business Address
BOMBINAMD LLC
4140 HOLLYWOOD AVE SUITE B-2
SHREVEPORT, LA 71109-7818
Phone number: 318-946-8183
Mailing Address
BOMBINAMD LLC
4140 HOLLYWOOD AVE SUITE B-2
SHREVEPORT, LA 71109-7818
Phone number: 318-946-8183
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