Individual
JANICE MARIE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 WACO ST, SHREVEPORT, LA 71104-3609
(318) 990-7707
Mailing address
3001 WACO ST, SHREVEPORT, LA 71104-3609
(318) 990-7707
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
006518543
LA
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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