Individual
DARISHA PAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8932 JEWELLA AVE STE A, SHREVEPORT, LA 71118-2117
(318) 219-4167
(318) 219-4834
Mailing address
3310 INDUSTRIAL DR APT C4, BOSSIER CITY, LA 71112-2479
(318) 607-2633
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
0
LA
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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