Organization
KITTY A ROARK.
Active
Other names
Couleur Cosmetics Boutique & ACC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KITTY A. ROARK (OWNER)
(318) 868-5851
Entity
Organization
Contact information
Practice address
855 PIERREMONT RD STE 126, SHREVEPORT, LA 71106-2074
(318) 868-5851
(318) 798-3348
Mailing address
855 PIERREMONT RD STE 126, SHREVEPORT, LA 71106-2074
(318) 868-5851
(318) 798-3348
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
00193754
LA
Other
Enumeration date
01/22/2008
Last updated
06/16/2008
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