SHIRONDA R BLAKE

SHREVEPORT, LA
NPI1306510805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221102)
Enumeration Date2021-08-06
Last Update Date2022-08-11
Business Address
SHIRONDA R BLAKE NP
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
Mailing Address
SHIRONDA R BLAKE NP
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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