| Shelyna Thawer-rice | |
|
1229 Farmerville Hwy Ruston LA 71270-3513 | |
| (318) 255-5141 | |
| Not Available |
| Full Name | Shelyna Thawer-rice |
|---|---|
| Speciality | Clinic/center |
| Location | 1229 Farmerville Hwy, Ruston, Louisiana |
| Authorized Official Name and Position | Shelyna Rice (OWNER) |
| Authorized Official Contact | 3182555141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelyna Thawer-rice 1229 Farmerville Hwy Ruston LA 71270-3513 Ph: (318) 255-5141 | Shelyna Thawer-rice 1229 Farmerville Hwy Ruston LA 71270-3513 Ph: (318) 255-5141 |
| NPI Number | 1194813089 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194813089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 918853377 (Louisiana) | Primary |
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