Individual
IRENE DOUGLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 SAINT VINCENT AVE APT S301, SHREVEPORT, LA 71106-4252
(318) 655-0693
Mailing address
7401 SAINT VINCENT AVE APT S301, SHREVEPORT, LA 71106-4252
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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