Organization
DRIGGERS DIABETIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICCI L DRIGGERS (OWNER)
(318) 349-2816
Entity
Organization
Contact information
Practice address
9300 MANSFIELD RD, # 105, SHREVEPORT, LA 71118-2533
(318) 349-2816
Mailing address
9087 AVALON DR, SHREVEPORT, LA 71118-2533
(318) 364-8301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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