Individual
FATEEMAH FAREEDA HELAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 PINES RD STE 1100, SHREVEPORT, LA 71129-3900
(318) 703-9372
Mailing address
7505 PINES RD STE 1100, SHREVEPORT, LA 71129-3900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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