IRENE VIVANCOS KOOPMAN

SHREVEPORT, LA
NPI1235026287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: LA  347210)
Enumeration Date2025-06-23
Last Update Date2025-06-23
Business Address
IRENE VIVANCOS KOOPMAN MD
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0050
Mailing Address
IRENE VIVANCOS KOOPMAN MD
1301 COATES BLUFF DR APT 1332
SHREVEPORT, LA 71104-2867
Phone number: 512-484-9720