Genetics Collection LLC
NPI #1104432970 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1104432970
- Entity Type
- Organization
- Organization Name
- Genetics Collection LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 17, 2020
- Last Updated
- Sep 17, 2020
Practice Location
- Address
- 214 W 70TH ST STE 205
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71106-3756
- Phone
- (318) 505-2079
Authorized Official
- Name
- MRS. ANTISKA TUJUNNA HAYNES, LPN
- Title
- OWNER
- Phone
- (318) 505-2079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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