Individual
SARAH KAITLYN HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 212-8411
Mailing address
9045 KINGSTON RD APT 2508, SHREVEPORT, LA 71118-3459
(318) 508-2211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158512
LA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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