Individual
TARA CABIRAN CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
3215 KNIGHT ST, APT 100, SHREVEPORT, LA 71105-2707
(985) 630-1779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
980057
LA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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