Individual
MARTHA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 N ASHLEY RIDGE LOOP STE 100, SHREVEPORT, LA 71106-7233
(318) 616-6011
Mailing address
7600 FERN AVE STE 700A, SHREVEPORT, LA 71105-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
321109
LA
Other
Enumeration date
09/12/2019
Last updated
02/13/2024
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