KENNETH DERUISE

LA PLACE, LA
NPI1902374473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-02
Last Update Date2018-11-02
Business Address
KENNETH DERUISE
2248 COUNTRY CLUB DR
LA PLACE, LA 70068-1818
Phone number: 504-373-0165
Mailing Address
KENNETH DERUISE
2248 COUNTRY CLUB DR
LA PLACE, LA 70068-1818
Phone number: 504-373-0165
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