Search › Louisiana › 104100000X
Raven King-Smith
NPI 1992365340 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6109 Ambleside Dr
Shreveport, LA 71129 - Phone
- (318) 518-3553
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
- 2024-07-24
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