Individual
JENSON ISAURA LINDAMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106-1033
(318) 946-8157
Mailing address
3821 SOUTHERN AVE, SHREVEPORT, LA 71106-1033
(318) 946-8157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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