DERRICK MONTRELLE OATIS, JR

MONROE, LA
NPI1437861325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-12-22
Last Update Date2022-12-22
Business Address
DERRICK MONTRELLE OATIS, JR
1761 N 19TH ST
MONROE, LA 71201-4554
Phone number: 318-509-8073
Mailing Address
DERRICK MONTRELLE OATIS, JR
1761 N 19TH ST
MONROE, LA 71201-4554
Phone number: 318-509-8073
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