GINA MARIE KRISTIANSEN

SHREVEPORT, LA
NPI1851991947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: TX  1014793)
Enumeration Date2020-10-28
Last Update Date2020-10-28
Business Address
GINA MARIE KRISTIANSEN
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
GINA MARIE KRISTIANSEN
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284
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