Individual
AMANDA NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7514 HENDERSON GIN RD, SHREVEPORT, LA 71107-3434
(318) 936-0656
Mailing address
7514 HENDERSON GIN RD, SHREVEPORT, LA 71107-3434
(318) 936-0656
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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