Individual
THEOPHILUS B SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4121 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-5336
(504) 616-5391
Mailing address
4121 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-5336
(504) 616-5391
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
881200
LA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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