Individual
JOHNNY ELMALAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1501 KINGS HWY, PO BOX 33932, SHREVEPORT, LA 71130-3932
(318) 626-2326
Mailing address
1501 KINGS HWY, PO BOX 33932, SHREVEPORT, LA 71130-3932
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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