Individual
VIRGINIA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5312 KENT AVE, SHREVEPORT, LA 71108-3326
(318) 464-7053
Mailing address
5312 KENT AVE, SHREVEPORT, LA 71108-3326
(318) 464-7053
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007922387
DEPARTMENT OF VETERANS AFFAIRS
LA
Enumeration date
09/23/2019
Last updated
09/23/2019
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