COREY VINING

HAMMOND, LA
NPI1851756035
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: LA  10583)
Enumeration Date2015-12-15
Last Update Date2015-12-15
Business Address
-- COREY VINING
509 S CHESTNUT ST
HAMMOND, LA 70403-4301
Phone number: 985-662-5347
Mailing Address
-- COREY VINING
509 S CHESTNUT ST
HAMMOND, LA 70403-4301
Phone number: 985-662-5347
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