Individual
CAMRI DISHAUN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 LINE AVE STE A, SHREVEPORT, LA 71101-4611
(318) 861-5928
Mailing address
513 DUMBARTON DR, SHREVEPORT, LA 71106-6809
(318) 532-1326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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