Individual
MS. TANYA TROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.H.
Contact information
Practice address
5828 LINE AVE, SHREVEPORT, LA 71106-1532
(318) 869-0669
(318) 869-0670
Mailing address
5828 LINE AVE, SHREVEPORT, LA 71106-1532
(318) 869-0669
(318) 869-0671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16063
LA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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