TRISSHA BELLE BALANGUE BAUTISTA

SHREVEPORT, LA
NPI1851872519
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-08-22
Last Update Date2025-06-20
Business Address
TRISSHA BELLE BALANGUE BAUTISTA DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
Mailing Address
TRISSHA BELLE BALANGUE BAUTISTA DO
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0434
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