Individual
TIKILA YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 469-6422
Mailing address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20190369
LA
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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