NPI 1164291100

Calyshia Burton

Practitioner Contractor Shreveport, LA

Practice location

Address: 6400 Jefferson Paige Rd, Shreveport, LA 71119-5106
Phone: (318) 507-0366

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1164291100
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jan 2024
Record last updated: 1 Jan 2024

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.