Individual
BROOKLYN GALIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1533 MARSHALL ST, SHREVEPORT, LA 71101-3941
(318) 626-5597
Mailing address
9731 CHARLESTON DR, SHREVEPORT, LA 71118-4205
(318) 210-9103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3002832
LA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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