MATTHEW BRAXTON HOLLOWELL

SHREVEPORT, LA
NPI1679298418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247100000X Radiologic Technologist
(Licence: LA  9896)
Enumeration Date2022-10-04
Last Update Date2024-09-19
Business Address
MATTHEW BRAXTON HOLLOWELL RT(R)
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-6640
Mailing Address
MATTHEW BRAXTON HOLLOWELL RT(R)
5402 HOLLYHOCK LN
BOSSIER CITY, LA 71112-4922
Phone number: 318-347-7635
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