Organization
MLD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRTIS LAJUAN EDWARDS (CHIEF EXECUTIVE OFFICER)
(318) 671-1086
Entity
Organization
Contact information
Practice address
8101 KINGSTON RD, SUITE 102A, SHREVEPORT, LA 71108-5745
(318) 671-1086
(318) 227-8510
Mailing address
8101 KINGSTON RD, SUITE 102A, SHREVEPORT, LA 71108-5745
(318) 671-1086
(318) 227-8510
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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