LATIN BERRY

LAKE CHARLES, LA
NPI1972128304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
Mr. LATIN BERRY
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Mailing Address
Mr. LATIN BERRY
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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