Individual
LATONYA MICHELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 CLAY ST, SHREVEPORT, LA 71101-2348
(318) 751-3510
Mailing address
3214 TIMOTHY CIR, SHREVEPORT, LA 71119-5330
(318) 751-3510
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
LA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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