Individual
PHOEBE HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 219-4167
Mailing address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
215867
LA
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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