Individual
BRENDA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7607 FERN AVE STE 902, SHREVEPORT, LA 71105-5745
(318) 524-9954
Mailing address
7607 FERN AVE STE 902, SHREVEPORT, LA 71105-5745
(318) 524-9954
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN033456
LA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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