Most Relevant Information
Provider Data
| NPI Number: | 1003651860 |
| Provider Name: | RETRINA MAYS PLPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | PLC10083 |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
2611 BETTY ST
SHREVEPORT
LA
711085521
Practice Location Phone/Fax
| Phone: | 3188652311 |
| Fax: |
Provider Mailing Location
5004 WESTRILEE DR
BENTON
LA
710064350
Provider Mailing Phone/Fax
| Phone: | 3184267399 |
| Fax: |