NPI 1275011397

Shatorriyae Starks

Practitioner Driver Shreveport, LA

Practice location

Address: 8200 Pines Rd APT 2605, Shreveport, LA 71129-4432
Phone: (318) 840-5629
Fax: (318) 754-3218

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 007409569 (LA)

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Registry record

NPI: 1275011397
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2018
Record last updated: 9 Mar 2020

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.