Individual
DEEKSHITHA MANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-7172
(318) 966-8788
Mailing address
309 JACKSON ST # 7004, MONROE, LA 71201-7407
(318) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
336865
LA
Other
Enumeration date
05/19/2022
Last updated
04/21/2024
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