Individual
MS. FELICA SHANTEL HARDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2642 YOUREE DR, SHREVEPORT, LA 71104-3616
(318) 581-1843
Mailing address
2642 YOUREE DR, SHREVEPORT, LA 71104-3616
(318) 581-1843
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
005021453
LA
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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