Individual
DESI R VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 NORTH BLVD, STE 200-A, BATON ROUGE, LA 70806-3743
(225) 387-0851
(225) 383-8477
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.206774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255630067
NPI
LA
05
—
2151941
—
LA
Enumeration date
03/18/2011
Last updated
11/18/2014
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