Individual
JENNIFER FOGLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 YOUREE DR, SHREVEPORT, LA 71105-5127
(337) 280-0460
Mailing address
504 DARBONNE DR, WEST MONROE, LA 71291-4735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200095
LA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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