Most Relevant Information
Provider Data
| NPI Number: | 1003361437 |
| Provider Name: | JOYCE PETERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2016 |
| Last Updated: | 08/15/2016 |
Provider Practice Location
6391 HIGHWAY 1
SHREVEPORT
LA
711078757
Practice Location Phone/Fax
| Phone: | 3189299000 |
| Fax: | 3189292000 |
Provider Mailing Location
6391 HIGHWAY 1
SHREVEPORT
LA
711078757
Provider Mailing Phone/Fax
| Phone: | 3189299000 |
| Fax: | 3189292000 |