Individual
DEMETRIC ANTWION PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3776 YOUREE DR, SHREVEPORT, LA 71105-2132
(318) 670-3159
Mailing address
1450 SENIOR DR, MANSFIELD, LA 71052-4842
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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