AMANDA BOLANOS

SHREVEPORT, LA
NPI1720244213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy227800000X Respiratory Therapist, Certified
(Licence: LA  CRTLT3386)
Enumeration Date2008-08-04
Last Update Date2008-08-04
Business Address
Mrs. AMANDA BOLANOS CRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mrs. AMANDA BOLANOS CRT
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411