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Search › Louisiana › 171M00000X

Jacquilla Moton

NPI 1548774797 · on the registry since 2017 · sole proprietor

Practice

Address
1500 N Market St Ste C104
Shreveport, LA 71107
Phone
(318) 626-5597
Fax
(318) 626-5691
Organisation at this address
Daystar Health Services
Daystar Health Services
Lifepath Hospice Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Sex
Female
Record last updated
2018-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana