Individual
BRANDI MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 CENTENARY BLVD STE 312, SHREVEPORT, LA 71104-3358
(318) 400-0673
Mailing address
6816 BETHANY ST, SHREVEPORT, LA 71106-3354
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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