IndividualActive
Rasheda Wilson
NPI 1710778535 · Private Vehicle · Shreveport, LA
Provider details
- NPI number
- 1710778535
- Entity type
- Individual
- Primary specialty
- Private VehicleTransportation Services
- Sex
- Female
- Sole proprietor
- Yes
- License
- 006841736 (LA)
Specialties & taxonomies
Transportation Services
Practice location
3349 Mackey Ln
Shreveport, LA 71118-2312
Phone: (318) 400-0967
Approximate (ZIP-level) locationGet directions
Mailing address
3349 Mackey Ln
Shreveport, LA 71118-2312
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.