JADETRICK I JAMES

SHREVEPORT, LA
NPI1689175572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-02-26
Last Update Date2018-05-21
Business Address
JADETRICK I JAMES
8101 KINGSTON RD STE 101B
SHREVEPORT, LA 71108
Phone number: 318-606-5335
Mailing Address
JADETRICK I JAMES
9060 AVALON DR
SHREVEPORT, LA 71118-2532
Phone number: