Individual
EDDIE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4344 ILLINOIS AVE, SHREVEPORT, LA 71109-6822
(318) 286-2934
Mailing address
4344 ILLINOIS AVE, SHREVEPORT, LA 71109-6822
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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