NPI 1073261269

Aldera Square

Practitioner Community Health Worker Shreveport, LA

Practice location

Address: 2210 Line Ave STE 101, Shreveport, LA 71104-2100
Phone: (318) 681-9572

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Louisiana →

Registry record

NPI: 1073261269
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2022
Record last updated: 16 Mar 2022

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.