Individual
FELICIA DIANE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4504 WESTWOOD PARK DR, SHREVEPORT, LA 71109-6223
(318) 799-4029
Mailing address
4504 WESTWOOD PARK DR, SHREVEPORT, LA 71109-6223
(318) 799-4029
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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