Individual
MS. LADONIA GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 BROWN ST, BOSSIER CITY, LA 71111-5108
(318) 317-9530
Mailing address
2612 BROWN ST, BOSSIER CITY, LA 71111-5108
(318) 317-9530
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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