NPI 1053549675

Tina Maria Anderson, MA

Practitioner Contractor Shreveport, LA

Practice location

Address: 820 Jordan St STE 510 B, Shreveport, LA 71101-4518
Phone: (318) 429-4377
Fax: (318) 429-4389

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1053549675
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jun 2009
Record last updated: 23 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.