Individual
LASHUNDA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 E BOULEVARD ST, SHREVEPORT, LA 71104-2505
(318) 560-2947
Mailing address
119 E BOULEVARD ST, SHREVEPORT, LA 71104-2505
(318) 560-2947
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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