DEMONTE LEE ANDREW VANISON

SLIDELL, LA
NPI1548017890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-05-03
Last Update Date2024-05-03
Business Address
DEMONTE LEE ANDREW VANISON
3773 CANAL BANK DR
SLIDELL, LA 70461-6646
Phone number: 985-402-9639
Mailing Address
DEMONTE LEE ANDREW VANISON
3773 CANAL BANK DR
SLIDELL, LA 70461-6646
Phone number: 985-402-9639