QUANTRELL ELIJAH RASHAD TOVAL

ALEXANDRIA, LA
NPI1982823357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  200018)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Mr. QUANTRELL ELIJAH RASHAD TOVAL ATC, LAT
3347 MASONIC DR
ALEXANDRIA, LA 71301-3842
Phone number: 318-664-6682
Mailing Address
Mr. QUANTRELL ELIJAH RASHAD TOVAL ATC, LAT
4900 LISA ST APT 64
ALEXANDRIA, LA 71302-2326
Phone number: 504-908-1134