Kyla Blaze
Kyla Blaze is a Community Health Worker in Shreveport, Louisiana. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2210 Line Ave Ste 101Shreveport, LA 71104-2100
Phone: (318) 681-9572
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1841948981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 17, 2022 |
| Last updated in NPPES | March 17, 2022 |
| Certification date | March 17, 2022 |
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