KETRA FULLER

SHREVEPORT, LA
NPI1457879470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-30
Last Update Date2022-07-21
Business Address
KETRA FULLER
4718 HEARNE AVE
SHREVEPORT, LA 71108
Phone number: 318-828-1521
Mailing Address
KETRA FULLER
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
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