Search › Louisiana › 104100000X
Tanesha Butler
NPI 1811477011 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3315 Warwick Dr
Shreveport, LA 71118 - Phone
- (318) 655-0840
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-16
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