VA DIABETIC FOOT SOURCE LLC

SHREVEPORT, LA
NPI1003139619
Entity TypeOrganization
Authorized ContactVICTOR V MANNING
Owner
318-560-2700
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
(Licence: LA  RN121799)
Enumeration Date2010-03-10
Last Update Date2010-03-10
Business Address
VA DIABETIC FOOT SOURCE LLC
9414 ASHMONT ST
SHREVEPORT, LA 71129-4830
Phone number: 318-560-2700
Mailing Address
VA DIABETIC FOOT SOURCE LLC
9414 ASHMONT ST
SHREVEPORT, LA 71129-4830
Phone number: 318-560-2700
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