Individual
MISS CAROLINA WAKINA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2857 FREDDIE ST, SHREVEPORT, LA 71107-4215
(318) 518-2811
Mailing address
2857 FREDDIE ST, SHREVEPORT, LA 71107-4215
(318) 518-2811
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
009004761
LA
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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