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Individual

DAYNE PHENIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 MARINERS PLAZA DR STE 704A, MANDEVILLE, LA 70448-4799
(504) 442-5128
Mailing address
700 MARINERS PLAZA DR STE 704A, MANDEVILLE, LA 70448-4799
(504) 442-5128

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10952
LA

Other

Enumeration date
10/07/2025
Last updated
10/07/2025
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