Individual
LAQUEISHA NAQUAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 RIVIERA ST, SHREVEPORT, LA 71107-7516
(318) 423-8058
Mailing address
3406 RIVIERA ST, SHREVEPORT, LA 71107-7516
(318) 423-8058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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