Amanda Bolanos CRT

NPI 1720244213 - Respiratory Therapist, Certified - 227800000X

NPI Details
NPI 1720244213
Gender Female
Enumeration Date 08/04/2008
Last Updated 08/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
510 E STONER AVE
SHREVEPORT LA, 71101-4243, US
Phone (318) 221-8411
Fax
Business Location
510 E STONER AVE
SHREVEPORT LA, 71101-4243, US
Phone (318) 221-8411
Fax
Toxanomy
Taxonomy Code 227800000X
License State Louisiana
License Number CRTLT3386
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According to our database, Mrs. Amanda Bolanos CRT NPI is 1720244213, taxonomy code is 227800000X and license number is CRTLT3386, license state is located at Louisiana. Amanda Bolanos CRT physically located at 510 E Stoner Ave, Shreveport LA, 71101-4243. NPI Number Amanda Bolanos CRT has the Individual type.

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1720244213 NPI number is provided on an as is basis without warranty of any kind. 1720244213 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Bolanos CRT are for informational purposes only.