JILL RICHIE PRIME

SHREVEPORT, LA
NPI1669712212
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP07168)
Enumeration Date2013-02-19
Last Update Date2013-02-19
Business Address
-- JILL RICHIE PRIME CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5584
Mailing Address
-- JILL RICHIE PRIME CRNA
6007 WHITNEY DR
BOSSIER CITY, LA 71111-5757
Phone number: 318-518-8675
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