KRISTEN GAVIDIA

SHREVEPORT, LA
NPI1851978134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  340867)
Enumeration Date2021-03-24
Last Update Date2024-05-24
Business Address
KRISTEN GAVIDIA DO
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
KRISTEN GAVIDIA DO
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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