Organization
GENERATIONAL HEALTH OF LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH HUNTER (OWNER)
(281) 214-9823
Entity
Organization
Contact information
Practice address
915 OLIVE ST, SHREVEPORT, LA 71104-2103
(281) 214-9823
Mailing address
915 OLIVE ST, SHREVEPORT, LA 71104-2103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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