Individual
DEANTRONIKA RACQUEL NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST, SHREVEPORT, LA 71105-2415
(318) 754-3560
Mailing address
9822 PENNINE CT, SHREVEPORT, LA 71118-4840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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