Individual
MISS MALENE NILAJA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1811 E BERT KOUNS INDUSTRIAL LOOP UNIT 210, SHREVEPORT, LA 71105-5740
(318) 212-3858
Mailing address
1811 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5740
(318) 212-3858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203888
LA
Other
Enumeration date
12/04/2019
Last updated
06/22/2021
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