Individual
SHIRLEY TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 LUCKY ST, SHREVEPORT, LA 71108-3411
(817) 313-6164
Mailing address
1657 LUCKY ST, SHREVEPORT, LA 71108-3411
(817) 313-6164
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
LA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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