NPI 1639834369

Jalisa Marvette Frazier

Practitioner Home Health Agency Shreveport, LA

Practice location

Address: 3537 Lillian St, Shreveport, LA 71109-2528
Phone: (318) 693-5072

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1639834369
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2021
Record last updated: 8 Nov 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.