Individual
TAJUANIA SHANETTE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 MCKINLEY AVE, SHREVEPORT, LA 71107-6605
(318) 426-0469
Mailing address
3809 OAKCREST ST, SHREVEPORT, LA 71109-4730
(318) 426-0469
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/20/2020
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