Individual
FATEEMAH BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 S VIENNA ST STE 7, RUSTON, LA 71270-5864
(318) 224-9200
(318) 224-9201
Mailing address
1812 W ALABAMA AVE APT 25D, RUSTON, LA 71270-8855
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
Y6357952
CA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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