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Individual

MS. COLLEEN V. ELIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN, CCDN

Contact information

Practice address
3937 PINES RD, SUITE H, SHREVEPORT, LA 71119-7301
(318) 635-1668
(318) 635-1668
Mailing address
3937 PINES RD, SUITE H, SHREVEPORT, LA 71119-7301
(318) 635-1668
(318) 635-1668

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
8109
LA
164X00000X
Licensed Vocational Nurse
8109
LA

Other

Enumeration date
11/10/2011
Last updated
11/10/2011
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