ALICIA SHANDRELL MOORE

SHREVEPORT, LA
NPI1598427999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: LA  221828)
Enumeration Date2021-10-13
Last Update Date2021-10-13
Business Address
ALICIA SHANDRELL MOORE NP
2205 E 70TH ST
SHREVEPORT, LA 71105-5321
Phone number: 318-797-1585
Mailing Address
ALICIA SHANDRELL MOORE NP
5610 BUNCOMBE RD APT 1308
SHREVEPORT, LA 71129-3623
Phone number: 318-302-1685
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