Individual
FALLYN HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 ALEXANDER ST, JONESBORO, LA 71251-2001
(318) 202-3706
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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