KEONA MONIQUE ISAAC

TALLULAH, LA
NPI1609647726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: LA  1334671108)
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
KEONA MONIQUE ISAAC
120 KIMBROUGH BLVD
TALLULAH, LA 71282-4307
Phone number: 318-341-6785
Mailing Address
KEONA MONIQUE ISAAC
120 KIMBROUGH BLVD
TALLULAH, LA 71282-4307
Phone number: 318-341-6785