Individual
KRASHANTA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
403 E FLOURNOY LUCAS RD, SHREVEPORT, LA 71115-3906
(318) 798-3500
Mailing address
403 E FLOURNOY LUCAS RD, SHREVEPORT, LA 71115-3906
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
A6949
LA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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