Individual
CHONDRA FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 219-4167
Mailing address
9805 W TRAILS END, SHREVEPORT, LA 71118-4820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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