Most Relevant Information
Provider Data
| NPI Number: | 1003323031 |
| Provider Name: | VERONA GLADNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/28/2017 |
| Last Updated: | 02/07/2019 |
Provider Practice Location
1609 HILL ST
BOSSIER CITY
LA
711114121
Practice Location Phone/Fax
| Phone: | 3182002111 |
| Fax: |
Provider Mailing Location
1609 HILL ST
BOSSIER CITY
LA
711114121
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |