Youngblood, Angela

Youngblood, Angela is an individual health care provider with primary practice located at 2210 Line Ave Ste 101 , Shreveport LA 71104-2100. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Youngblood, Angela can be contacted via phone (318) 681-9572.

Contact Information

Primary practice address
2210 Line Ave Ste 101 Shreveport LA 71104-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1609524800
LBN Legal business name Youngblood, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2022
Last updated Mar 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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