ELENA URBIZTONDO

SHREVEPORT, LA
NPI1881226561
Former NameELENA URBIZTONDO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  211603)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA  211603)
Enumeration Date2020-02-10
Last Update Date2022-07-06
Business Address
ELENA URBIZTONDO
670 ALBEMARLE DR BLDG 7
SHREVEPORT, LA 71106-5945
Phone number: 318-562-6903
Mailing Address
ELENA URBIZTONDO
9832 AMBLEWOOD LN
SHREVEPORT, LA 71118-5054
Phone number: 210-748-4191