JACQUELINE KENNEDY
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1053031724- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6929 LAVENDER ST, SHREVEPORT, LA, 711098335
- Phone
- (318) 946-7286
Specialties & Taxonomies
Home Health Aide
Primary
All Addresses
MAILING
6929 LAVENDER ST
SHREVEPORT, LA, 711098335