JUSTIN ZEBULON LAFERRIER

FORT SAM HOUSTON, TX
NPI1902881675
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy171000000X Military Health Care Provider
(Licence: RI  PT01734)
Enumeration Date2005-12-14
Last Update Date2007-07-08
Business Address
JUSTIN ZEBULON LAFERRIER MSPT, OCS, CSCS
3851 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-2154
Mailing Address
JUSTIN ZEBULON LAFERRIER MSPT, OCS, CSCS
136 SEFORD DR
SAN ANTONIO, TX 78209-6035
Phone number: 401-261-5236