LEE OTIS MARYLAND

HAMMOND, LA
NPI1912185240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171WH0202X Contractor, Home Modifications
(Licence: LA  HI.0552691)
Enumeration Date2008-02-08
Last Update Date2008-02-08
Business Address
Mr. LEE OTIS MARYLAND
119 W GREEN ST
HAMMOND, LA 70403-4807
Phone number: 985-351-8865
Mailing Address
Mr. LEE OTIS MARYLAND
119 W GREEN ST
HAMMOND, LA 70403-4807
Phone number: 985-351-8865
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