Individual
YOLANDA L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 W 70TH ST, SHREVEPORT, LA 71106-3034
(318) 868-4552
(318) 868-5160
Mailing address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN089561
LA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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