Individual
JOYCE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6391 HIGHWAY 1, SHREVEPORT, LA 71107-8757
(318) 929-9000
(318) 929-2000
Mailing address
6391 HIGHWAY 1, SHREVEPORT, LA 71107-8757
(318) 929-9000
(318) 929-2000
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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