Overton Brooks Vamc

NPI 1295974574 - General Acute Care Hospital - 282N00000X

NPI Details
NPI 1295974574
Enumeration Date 02/11/2009
Last Updated 02/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CRUSHUNDA MONIQUE CRUSHUNDA
Position CLINICAL SOCIAL WORKER
Phone (318) 990-5387
Fax
Practice Location
510 E STONER AVE
SHREVEPORT LA, 71101-4243, US
Phone (318) 990-5387
Fax
Business Location
535 ANTIETAM DR
BOSSIER CITY LA, 71112-4789, US
Phone (318) 990-5387
Fax
Toxanomy
Taxonomy Code 282N00000X
License State Louisiana
License Number 8840
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According to our database, Overton Brooks Vamc NPI is 1295974574, taxonomy code is 282N00000X and license number is 8840, license state is located at Louisiana. Overton Brooks Vamc physically located at 510 E Stoner Ave, Shreveport LA, 71101-4243. NPI Number 1033115704 has the healthcare provider type.

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1295974574 NPI number is provided on an as is basis without warranty of any kind. 1295974574 is maintained by the National Plan & Provider Enumeration System. The contents of Overton Brooks Vamc are for informational purposes only.