Lateisha T Douglas
Lateisha T Douglas is a Driver in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3045 Hoyte DrShreveport, LA 71118-2407
Phone: (318) 344-4999
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Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1912640657 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2022 |
| Last updated in NPPES | April 20, 2022 |
| Certification date | April 20, 2022 |
| Mailing address | 3045 Hoyte Dr, Shreveport, LA 71118-2407 |
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