PHYLLIS CAUDILL

SHREVEPORT, LA
NPI1568239283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MS  906229)
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
PHYLLIS CAUDILL
1860 FAIRFIELD AVE
SHREVEPORT, LA 71101-4431
Phone number: 318-642-9450
Mailing Address
PHYLLIS CAUDILL
1860 FAIRFIELD AVE
SHREVEPORT, LA 71101-4431
Phone number: 318-642-9450
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