JERRY LLOYD WILLIFORD

SHREVEPORT, LA
NPI1669060034
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  211128)
Enumeration Date2021-01-01
Last Update Date2021-01-01
Business Address
JERRY LLOYD WILLIFORD Nurse Practitioner
850 OLIVE ST STE A
SHREVEPORT, LA 71104-2162
Phone number: 318-239-4860
Mailing Address
JERRY LLOYD WILLIFORD Nurse Practitioner
PO BOX 4506
SHREVEPORT, LA 71134-0506
Phone number: 318-239-4860
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