Individual
TRENITA DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 NORTH CIR, BOSSIER CITY, LA 71111-4748
(318) 754-2377
Mailing address
521 NORTH CIR, BOSSIER CITY, LA 71111-4748
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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