Organization
JANICE HOLLIER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE HOLLIER (OWNER)
(318) 469-9828
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 425-4096
Mailing address
PO BOX 4484, SHREVEPORT, LA 71134-0484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
022979
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494585
—
LA
Enumeration date
02/26/2015
Last updated
02/26/2015
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