DEBRA ANN CLAYCOMB

SHREVEPORT, LA
NPI1215946314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ  Rn032153, NP #162)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- DEBRA ANN CLAYCOMB Nurse Practitioner
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
-- DEBRA ANN CLAYCOMB Nurse Practitioner
10759 WALNUT RIDGE LN
KEITHVILLE, LA 71047-5501
Phone number: