KELLY ANN WALLS

SHREVEPORT, LA
NPI1013114842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  270221)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
Mrs. KELLY ANN WALLS LPN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Mrs. KELLY ANN WALLS LPN
222 COUNTRY CLUB DR
BENTON, LA 71006-9463
Phone number: 318-965-4798
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