Individual
MS. SHATORRIYAE STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 PINES RD APT 2605, SHREVEPORT, LA 71129-4432
(318) 840-5629
(318) 754-3218
Mailing address
8200 PINES RD APT 2605, SHREVEPORT, LA 71129-4432
(318) 840-5629
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
007409569
LA
Other
Enumeration date
07/31/2018
Last updated
03/09/2020
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