Individual
SHANTELL J FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA, CPT
Contact information
Practice address
3000 KNIGHT ST STE 251, SHREVEPORT, LA 71105-2566
(318) 780-4031
Mailing address
3000 KNIGHT ST STE 251, SHREVEPORT, LA 71105-2566
(318) 780-4031
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
93103022
LA
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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