MATTHEW GEORGE

SHREVEPORT, LA
NPI1659015022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-22
Last Update Date2022-04-22
Business Address
MATTHEW GEORGE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-4092
Mailing Address
MATTHEW GEORGE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: