Individual
MRS. WANDA ELIZABETH BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
2504 SHERI LN, SHREVEPORT, LA 71109-3026
(318) 621-8764
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13718
LA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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