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NPI 1780032359

IndividualActive

Annie Wells

NPI 1780032359 · Vehicle Modifications Contractor · Shreveport, LA

Provider details

NPI number: 1780032359
Entity type: Individual
Primary specialty: Vehicle Modifications ContractorOther Service Providers
Sex: Female
Sole proprietor: No
License: 002803974 (LA)

Practice location

3113 Moore Station Rd

Shreveport, LA 71108-5043

Phone: (318) 423-4561

Fax: (318) 848-7713

More LA providers

Mailing address

3113 Moore Station Rd

Shreveport, LA 71108-5043

Registry dates

Enumerated: 2016-05-24
Last updated: 2016-05-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Annie Wells — NPI 1780032359, Shreveport, LA | NPI Central