Individual
FELICIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 GALWAY DR, SHREVEPORT, LA 71115-2910
(318) 946-5722
Mailing address
409 GALWAY DR, SHREVEPORT, LA 71115-2910
(318) 946-5722
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006874473
—
LA
Enumeration date
09/03/2021
Last updated
09/03/2021
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