Individual
RESHANA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 FREESTATE BLVD STE A, SHREVEPORT, LA 71107-6549
(318) 226-5990
Mailing address
151 FREESTATE BLVD STE A, SHREVEPORT, LA 71107-6549
(318) 226-5990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P30003524
LA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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