OMEAD DARVISH

SHREVEPORT, LA
NPI1942059076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
OMEAD DARVISH
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6111
Mailing Address
OMEAD DARVISH
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: