QUANERICK MILTON

SHREVEPORT, LA
NPI1982198750
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-15
Last Update Date2018-06-15
Business Address
QUANERICK MILTON
2800 YOUREE DR STE 120
SHREVEPORT, LA 71104-3667
Phone number: 318-671-4341
Mailing Address
QUANERICK MILTON
719 BIANCA ST
HAUGHTON, LA 71037-8785
Phone number: 318-780-4053