Provider First Line Business Practice Location Address:
1513 NORTH LOUISIANA WHOLE HEALTH TREATMENT CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-408-9929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2023