KWAMEQUA EZELL

THIBODAUX, LA
NPI1689276032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-11-11
Last Update Date2020-11-11
Business Address
KWAMEQUA EZELL
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
Mailing Address
KWAMEQUA EZELL
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055