Individual
MRS. SHIRLEY ANN MALMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NCBTMB
Contact information
Practice address
3110 BERT KOUNS #11 INDUSTRIAL LOOP SUITE G, SHREVEPORT, LA 71105
(318) 865-6050
(318) 686-1053
Mailing address
3110 BERT KOUNS #11, INDUSTRIAL LOOP SUITE G, SHREVEPORT, LA 71118-2900
(318) 686-1186
(318) 686-1053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LA2861
LA
Other
Enumeration date
10/21/2006
Last updated
09/14/2011
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