BERANNA R SMITH

SHREVEPORT, LA
NPI1689193765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A09482R)
Enumeration Date2017-09-11
Last Update Date2017-09-11
Business Address
BERANNA R SMITH
8186 DANCE DR.
SHREVEPORT, LA 71129
Phone number: 318-347-3585
Mailing Address
BERANNA R SMITH
8186 DANCE DR
SHREVEPORT, LA 71129-9707
Phone number:
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