DETRIC BAILEY

BOSSIER CITY, LA
NPI1487136438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-09-05
Last Update Date2019-04-12
Business Address
DETRIC BAILEY
3225 TAMMYE LN
BOSSIER CITY, LA 71111-2823
Phone number: 318-678-3748
Mailing Address
DETRIC BAILEY
3225 TAMMYE LN
BOSSIER CITY, LA 71111-2823
Phone number: