Individual
SARA KATHERINE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CF
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
Mailing address
757 WOODMONT PL, SHREVEPORT, LA 71108-5726
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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