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Individual

WAJEEHA TARIQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0434
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0434

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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