Individual
CLARENCE BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 EDWARDS ST APT 403, SHREVEPORT, LA 71101-3672
(318) 888-1960
Mailing address
719 EDWARDS ST APT 403, SHREVEPORT, LA 71101-3672
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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