ANTERRICA GWENA' MYLES

SHREVEPORT, LA
NPI1174344998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: LA  237401)
Enumeration Date2024-10-23
Last Update Date2024-10-28
Business Address
ANTERRICA GWENA' MYLES
1800 BUCKNER ST STE A206
SHREVEPORT, LA 71101-4438
Phone number: 318-678-8801
Mailing Address
ANTERRICA GWENA' MYLES
1088 FRONTAGE RD
MINDEN, LA 71055-7861
Phone number: 318-588-2147