CARLIE PROCTOR

SHREVEPORT, LA
NPI1235708694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
CARLIE PROCTOR
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0203
Mailing Address
CARLIE PROCTOR
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0203