Individual
SHELBY DOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3351
(318) 688-3350
Mailing address
4819 HIGHWAY 154, RINGGOLD, LA 71068-3233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
231242
LA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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