GUVANCH KAKAMYRADOV

SHREVEPORT, LA
NPI1669221743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
GUVANCH KAKAMYRADOV
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-2482
Mailing Address
GUVANCH KAKAMYRADOV
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: