Search › Louisiana › 163WH0200X
Kierra Youngblood
NPI 1700468691 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3650 Lakeside Dr
Shreveport, LA 71119 - Phone
- (318) 771-4732
- Fax
- (318) 771-4732
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-21
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