Individual
MRS. WANDRIA COLEMAN DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-1855
(318) 698-8182
Mailing address
3902 ELMER LN, SHREVEPORT, LA 71109-1934
(318) 560-2295
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP10195
LA
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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