Individual
ANGEL REDILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 KNOLLCREST DR, SHREVEPORT, LA 71129-3607
(318) 503-7125
Mailing address
5501 KNOLLCREST DR, SHREVEPORT, LA 71129-3607
(318) 503-7125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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