SARA AMEND BLANKENSHIP

SHREVEPORT, LA
NPI1811518780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  213810)
Additional Taxonomies163W00000X Registered Nurse
(Licence: LA  RN134042)
Enumeration Date2020-05-02
Last Update Date2021-06-18
Business Address
SARA AMEND BLANKENSHIP
1811 E BERT KOUN LOOP STE 400
SHREVEPORT, LA 71105-5764
Phone number: 318-212-3810
Mailing Address
SARA AMEND BLANKENSHIP
1811 E BERT KOUN LOOP STE 400
SHREVEPORT, LA 71105-5764
Phone number: 318-212-3810
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