Individual
MRS. VERA MITCHELL WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
9591 WALLACE LAKE RD, SHREVEPORT, LA 71106-7535
(318) 687-8813
(318) 687-8813
Mailing address
9591 WALLACE LAKE RD, SHREVEPORT, LA 71106-7535
(318) 687-8813
(318) 687-8813
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
LT3525
LA
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
LT3525
LA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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