Individual
BERNARD FRIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
842 MARGARET PL, SHREVEPORT, LA 71101
(318) 675-0406
(318) 675-0408
Mailing address
842 MARGARET PL, SHREVEPORT, LA 71101-4521
(318) 675-0406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
03/12/2019
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