Individual
MISS DORIANNA TELSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S HIGHLAND DR, MANY, LA 71449-3719
(318) 256-5202
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 663-1240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
LA
Enumeration date
07/23/2019
Last updated
11/20/2019
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