Individual
ADRIAN DEWAYNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1554 MYRTLE ST, SHREVEPORT, LA 71101-2474
(318) 658-3843
(318) 658-3843
Mailing address
1554 MYRTLE ST, SHREVEPORT, LA 71101-2474
(318) 658-3843
(318) 658-3843
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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