Individual
BETH NICOLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT, RPHT
Contact information
Practice address
2106 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3317
(321) 303-7892
Mailing address
6051 ROMA DR APT 810, SHREVEPORT, LA 71105-4674
(321) 303-7892
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT28245
FL
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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