Individual
MRS. KATRINA LYNN SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/NCM
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3318
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3118
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN106515
LA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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