Individual
ISRAEL ABAYOMI AKINRINMADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 KNIGHT ST STE 149, SHREVEPORT, LA 71105-2502
(318) 227-8390
Mailing address
900 WESTGATE LN APT 48, BOSSIER CITY, LA 71112-3549
(318) 518-8813
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9748
LA
Other
Enumeration date
10/28/2019
Last updated
02/13/2025
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