Individual
MIRANDA NASHAY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 SHERWOOD RD, SHREVEPORT, LA 71106-2019
(318) 250-4344
Mailing address
821 SHERWOOD RD, SHREVEPORT, LA 71106-2019
(318) 250-4344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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