Individual
JALISA MARVETTE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 LILLIAN ST, SHREVEPORT, LA 71109-2528
(318) 693-5072
Mailing address
3537 LILLIAN ST, SHREVEPORT, LA 71109-2528
(318) 693-5072
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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