Individual
CORINA RENEE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5501
Mailing address
3841 PORTER LN, PROSPER, TX 75078-5156
(214) 998-6165
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
811867
TX
Other
Enumeration date
12/25/2023
Last updated
12/25/2023
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