HOLLY GAINES SCURLOCK

SHREVEPORT, LA
NPI1134469463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: LA  PA.200600)
Enumeration Date2013-02-23
Last Update Date2013-02-23
Business Address
-- HOLLY GAINES SCURLOCK PA-C
9300 MANSFIELD RD
SHREVEPORT, LA 71118-3155
Phone number: 318-629-3763
Mailing Address
-- HOLLY GAINES SCURLOCK PA-C
9300 MANSFIELD RD
SHREVEPORT, LA 71118-3155
Phone number: 318-629-3763