Individual
MICHELLE WINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
88774
LA
246Z00000X
Other Specialist/Technologist
88774
MN
Other
Enumeration date
08/13/2008
Last updated
03/19/2025
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