Individual
BRANDI MIKAL WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLS, CPT
Contact information
Practice address
333 TEXAS ST STE 1300, SHREVEPORT, LA 71101-3783
(318) 518-3901
Mailing address
9021 MORAY DR, SHREVEPORT, LA 71129-5127
(318) 518-3901
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
334543
LA
246RP1900X
Phlebotomy Technician
—
—
Other
Enumeration date
07/17/2023
Last updated
10/18/2024
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