DIANNA ELIZABETH FORT

SHREVEPORT, LA
NPI1487365599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WH1000X Registered Nurse, Hospice
(Licence: LA  RN158038)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
Mrs. DIANNA ELIZABETH FORT
246 ATLANTIC AVE
SHREVEPORT, LA 71105-3027
Phone number: 318-294-6337
Mailing Address
Mrs. DIANNA ELIZABETH FORT
246 ATLANTIC AVE
SHREVEPORT, LA 71105-3027
Phone number: 318-294-6337