Individual
MIRIAM PALOMA TOVAR CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 426-0638
Mailing address
153 WHITE OAK DR, BENTON, LA 71006-9679
(318) 426-0638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/17/2024
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