Individual
KIANTI MEASHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 CLINGMAN DR, SHREVEPORT, LA 71105-3207
(318) 409-1700
Mailing address
4309 CLINGMAN DR, SHREVEPORT, LA 71105-3207
(318) 409-1700
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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