KRISTEN RUTH BASS

SHREVEPORT, LA
NPI1093015885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.200391)
Enumeration Date2010-10-26
Last Update Date2021-06-17
Business Address
Ms. KRISTEN RUTH BASS PA-C
1811 E BERT KOUNS INDUSTRIAL LOOP STE 400
SHREVEPORT, LA 71105
Phone number: 318-212-3810
Mailing Address
Ms. KRISTEN RUTH BASS PA-C
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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