Individual
MRS. ANGELA M CUSH-JOHN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2225 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 221-2225
(318) 459-2955
Mailing address
2225 LINE AVE, SHREVEPORT, LA 71104-2128
(318) 221-2225
(318) 459-2955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0822590
LA
Other
Enumeration date
07/19/2005
Last updated
07/08/2007
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