NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1538668538 | BODDIE | SHASTA |   |   | 1301 YOUREE DR | SHREVEPORT | LA | 711015117 |
1063057081 | EVERY | TAWAN | R |   | 1000 CHINABERRY DR STE 900 | BOSSIER CITY | LA | 711112455 |
1073270393 | HENRY | TARESA |   |   | 1000 CHINABERRY DR STE 100 | BOSSIER CITY | LA | 711112443 |
1003589391 | JENKINS | ANDREA | MICHELLE |   | 8326 KELWOOD AVE | BATON ROUGE | LA | 708064803 |
1053993022 | SNIPES | FOSTER |   |   | 8326 KELWOOD AVE | BATON ROUGE | LA | 708064803 |