JEREMY EDWIN PRYOR

SHREVEPORT, LA
NPI1922545789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-01-31
Last Update Date2022-06-22
Business Address
Mr. JEREMY EDWIN PRYOR
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
Mr. JEREMY EDWIN PRYOR
1534 YALE AVE
SHREVEPORT, LA 71103-2543
Phone number: 469-491-8825