NPI 1194945360

Repunda Mims Ball

Practitioner Adult Companion Shreveport, LA

Practice location

Address: 7505 Pines Rd STE 1104, Shreveport, LA 71129-3900
Phone: (318) 671-1772
Fax: (318) 671-1774
Mailing address: 7505 Pines Rd Ste.1104, Shreveport, LA 71129

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence 10737 (LA)

Other Adult Companion providers in Louisiana →

Registry record

NPI: 1194945360
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2007
Record last updated: 9 Jul 2007

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.