SHANNON LEONNIE YOUNGBLOOD

SHREVEPORT, LA
NPI1902030273
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP05726)
Enumeration Date2009-05-14
Last Update Date2020-04-13
Business Address
SHANNON LEONNIE YOUNGBLOOD CRNA
1 SAINT MARY PL PFS-PRO BILLING
SHREVEPORT, LA 71101-4343
Phone number: 318-681-6878
Mailing Address
SHANNON LEONNIE YOUNGBLOOD CRNA
PO BOX 5887
ALEXANDRIA, LA 71307-5887
Phone number: 318-442-5399
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