Individual
DR. VICTORIA REYES BLOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
82525 HIGHWAY 25, FOLSOM, LA 70437-6111
(985) 898-4001
Mailing address
PO BOX 669379, DALLAS, TX 75266-9379
(985) 898-4493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
327751
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073075008
—
LA
Enumeration date
03/31/2019
Last updated
08/17/2022
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