DEONTAE BRAZIL

MONROE, LA
NPI1487260733
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
DEONTAE BRAZIL
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number: 318-325-9503
Mailing Address
DEONTAE BRAZIL
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number: