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Individual

LATANDREA RUFFINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7505 PINES ROAD, SUITE 1200-E, SHREVEPORT, LA 71129-3935
(318) 517-7428
(318) 568-8019
Mailing address
7505 PINES ROAD, SUITE 1200-E, SHREVEPORT, LA 71129-3935
(318) 517-7428
(318) 568-8019

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
339805
LA
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
07/02/2021
Last updated
07/22/2024
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