CARA MICCOLI PERMENTER

SHREVEPORT, LA
NPI1942741376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  312349)
Enumeration Date2017-03-18
Last Update Date2020-07-29
Business Address
CARA MICCOLI PERMENTER MD
9220 ELLERBE RD STE 700
SHREVEPORT, LA 71106-6709
Phone number: 318-681-5282
Mailing Address
CARA MICCOLI PERMENTER MD
2900 SAINT MICHAEL DR STE 401
TEXARKANA, TX 75503-5211
Phone number: 903-614-5372
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