Individual
ALONQUINETTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3940 GREENWOOD RD, SHREVEPORT, LA 71109
(404) 448-8757
Mailing address
6808 W CANAL BLVD, SHREVEPORT, LA 71108-4635
(404) 448-8757
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010175617
—
LA
Enumeration date
04/27/2022
Last updated
04/27/2022
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