CAROLYN BRANTLY

SHREVEPORT, LA
NPI1467125492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  221058)
Enumeration Date2021-07-27
Last Update Date2022-12-04
Business Address
CAROLYN BRANTLY
2508 BERT KOUNS INDUSTRIAL LOOP STE 301
SHREVEPORT, LA 71118-3100
Phone number: 318-212-5991
Mailing Address
CAROLYN BRANTLY
2508 BERT KOUNS INDUSTRIAL LOOP STE 301
SHREVEPORT, LA 71118-3100
Phone number: 318-212-5991
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