Individual
MISS DEIRDRE MASHALE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 GRAVOIS DR, SHREVEPORT, LA 71106-6902
(318) 505-1425
Mailing address
410 GRAVOIS DR, SHREVEPORT, LA 71106-6902
(318) 505-1425
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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