Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REPUNDA MIMS BALL
Active Sole ProprietorREPUNDA MIMS BALL is a Adult Companion healthcare provider located in SHREVEPORT, Louisiana. NPI 1194945360 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · SHREVEPORT, LA
Registration Details
- NPI Number
- 1194945360
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2007 (19.337225469987 yrs)
- Last Updated
- Jul 9, 2007
- License
-
10737 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7505 PINES RD STE 1104SHREVEPORT, LA, 711293900Browse LA providers · Browse ZIP 71129
- Phone
- 3186711772
- Fax
- 3186711774
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES HARROLD I | — | 1255743530 |
| BAHIYA JOHNSON | — | 1881130649 |
| CARLLISHIA M MOSLEY | — | 1740994250 |
| AUBREY WHITAKER | — | 1467334532 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.