ELLIS REED MAXWELL

SHREVEPORT, LA
NPI1730280264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  079757)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Mr. ELLIS REED MAXWELL CRNA
501 EAST STONER AVE
SHREVEPORT, LA 71101
Phone number: 318-221-8411
Mailing Address
Mr. ELLIS REED MAXWELL CRNA
9409 RED OAK LANE
SHREVEPORT, LA 71106
Phone number: 318-219-8580
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