MAIRA QAYYUM

SHREVEPORT, LA
NPI1609367713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: LA  333168)
Enumeration Date2018-05-24
Last Update Date2022-09-20
Business Address
MAIRA QAYYUM
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
MAIRA QAYYUM
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287