Individual
MS. YOLANDA YVETTE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 WAGGONER AVE, SHREVEPORT, LA 71108
(318) 751-3424
Mailing address
2790 WAGGONER AVE, SHREVEPORT, LA 71108
(318) 751-3424
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
006406811
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-0522904
—
LA
Enumeration date
05/28/2021
Last updated
05/28/2021
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