LIDETHRA VUSHUN PERRY

SHREVEPORT, LA
NPI1801527007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-06-20
Last Update Date2022-06-20
Business Address
LIDETHRA VUSHUN PERRY
138 TOOKE DR
SHREVEPORT, LA 71106-7317
Phone number: 318-813-9258
Mailing Address
LIDETHRA VUSHUN PERRY
138 TOOKE DR
SHREVEPORT, LA 71106-7317
Phone number: 318-813-9258
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