DEMONTRELL THOMAS

Driver

Active Individual
NPI: 1760064802

Practice Address

4712 ARNSDALE CIR
Shreveport, LA 71109

Phone: (318) 286-1338

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 010250952 (LA)

Frequently Asked Questions

NPI 1760064802 is the National Provider Identifier for DEMONTRELL THOMAS, a Driver provider located in Shreveport, LA. This NPI was enumerated on April 27, 2021.
DEMONTRELL THOMAS practices at 4712 ARNSDALE CIR, Shreveport, LA 71109.

Quick Facts

NPI
1760064802
Type
Individual
Enumerated
Apr 27, 2021
Last Updated
Apr 27, 2021

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