Organization
PERFECT PHYZIQUE WELLNESS & BODY CONTOURING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PASHALA PERRY FNP-C (NURSE PRACTITIONER/OWNER)
(214) 329-6161
Entity
Organization
Contact information
Practice address
220 CARROLL ST STE A, SHREVEPORT, LA 71105-4247
(318) 220-1113
Mailing address
220 CARROLL ST STE A, SHREVEPORT, LA 71105-4247
(214) 329-6161
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
05/04/2020
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