NPI 1114502093

Coreen Wilson

Practitioner Transportation Broker Shreveport, LA

Practice location

Address: 4401 Wildwood Dr, Shreveport, LA 71119-8611
Phone: (318) 210-5187

Registered specialties

Transportation Broker Primary

Transportation Services Taxonomy 347E00000X

Other Transportation Broker providers in Louisiana →

Registry record

NPI: 1114502093
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2021
Record last updated: 12 Mar 2021

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.