Individual
CAITLYN MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
255 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
Mailing address
9009 MITCHAM ST, SHREVEPORT, LA 71106-7983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
307205
LA
Other
Enumeration date
09/21/2017
Last updated
03/02/2020
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