Individual
AVERY BRYAN DAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(318) 376-6488
Mailing address
414 MONROVIA ST, SHREVEPORT, LA 71106-1608
(318) 376-6488
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
05/12/2023
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