MAGNOLIA DIAGNOSTIC SERVICES INC.

SHREVEPORT, LA
NPI1770375768
Entity TypeOrganization
Authorized ContactDEWARRENT LEE BRANTLEY
CEO/Owner
318-840-9074
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2025-05-19
Last Update Date2025-05-22
Business Address
MAGNOLIA DIAGNOSTIC SERVICES INC.
4005 LAKESHORE DR
SHREVEPORT, LA 71109-1927
Phone number: 318-840-9074
Mailing Address
MAGNOLIA DIAGNOSTIC SERVICES INC.
4005 LAKESHORE DR
SHREVEPORT, LA 71109-1927
Phone number: 318-840-9074
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