Individual
TAMA DEMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1513 LINE AVE, SHREVEPORT, LA 71101-4621
(318) 221-2828
Mailing address
1513 LINE AVE, SHREVEPORT, LA 71101-4621
(318) 221-2828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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