AMETHYS E'ETESSAM

SHREVEPORT, LA
NPI1760273320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-14
Last Update Date2025-05-14
Business Address
AMETHYS E'ETESSAM DO
2611 GREENWOOD RD
SHREVEPORT, LA 71103-3907
Phone number: 318-212-8128
Mailing Address
AMETHYS E'ETESSAM DO
2611 GREENWOOD RD
SHREVEPORT, LA 71103-3907
Phone number: 318-212-8128
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