Individual
FELICIA D HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8932 JEWELLA AVE, SHREVEPORT, LA 71118-2117
(318) 415-9899
Mailing address
8852 SAINT CLAIR ST, SHREVEPORT, LA 71118-2034
(318) 415-9899
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30000643
LA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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