Individual
DAMARKO ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 S MAGNOLIA ST, LAFAYETTE, LA 70501-7338
(832) 748-7929
Mailing address
702 S MAGNOLIA ST, LAFAYETTE, LA 70501-7338
(832) 748-7929
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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