BARRY WARRIS BOLTON

BOGALUSA, LA
NPI1871942888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: LA  03679828)
Enumeration Date2016-06-09
Last Update Date2016-06-09
Business Address
Mr. BARRY WARRIS BOLTON
712B LOUISIANA AVE
BOGALUSA, LA 70427
Phone number: 985-750-4511
Mailing Address
Mr. BARRY WARRIS BOLTON
712B LOUISIANA AVE
BOGALUSA, LA 70427
Phone number: 985-750-4511