Individual
KELSEY LATALYA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9209 MANSFIELD RD, SHREVEPORT, LA 71118-3152
(318) 671-0271
Mailing address
116 WILDWOOD ST, MANSFIELD, LA 71052-6472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023529
LA
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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