Individual
DEBRA ANN CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6136
Mailing address
10759 WALNUT RIDGE LN, KEITHVILLE, LA 71047-5501
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
AZ
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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