NPI 1255743530

Charles Harrold

Practitioner Adult Companion Shreveport, LA

Practice location

Address: 2800 Youree Dr STE 304, Shreveport, LA 71104-3660
Phone: (318) 210-1967
Mailing address: PO Box 4532, Shreveport, LA 71134-0532

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X Licence 00269798 (LA)

Other Adult Companion providers in Louisiana →

Registry record

NPI: 1255743530
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2014
Record last updated: 21 May 2014

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.