Organization
WHITE CLOVER RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA M SMITH (MANGER)
(318) 455-8856
Entity
Organization
Contact information
Practice address
460 ASHLEY RIDGE BLVD STE 600, SHREVEPORT, LA 71106-7238
(318) 861-4226
(318) 402-0561
Mailing address
460 ASHLEY RIDGE BLVD STE 600, SHREVEPORT, LA 71106-7238
(318) 861-4226
(318) 402-0561
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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