Individual
KRYSTLE RALLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 YOUREE DR APT 256, SHREVEPORT, LA 71105-5571
(318) 536-9399
Mailing address
7800 YOUREE DR APT 256, SHREVEPORT, LA 71105-5571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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