Individual
MR. EARL HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7800 YOUREE DR APT 1101, SHREVEPORT, LA 71105-5521
(318) 759-6487
Mailing address
7800 YOUREE DR APT 1101, SHREVEPORT, LA 71105-5521
(318) 759-6487
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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